Provider Demographics
NPI:1790972214
Name:NIRMAL S. BUAL, MD, PA
Entity type:Organization
Organization Name:NIRMAL S. BUAL, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NIRMAL
Authorized Official - Middle Name:S
Authorized Official - Last Name:BUAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:281-206-0134
Mailing Address - Street 1:PO BOX 690646
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77269-0646
Mailing Address - Country:US
Mailing Address - Phone:281-206-0134
Mailing Address - Fax:713-955-5201
Practice Address - Street 1:6006 THEALL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-1403
Practice Address - Country:US
Practice Address - Phone:281-206-0134
Practice Address - Fax:713-955-5201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00407KMedicare PIN