Provider Demographics
NPI:1811675820
Name:INTERNATIONAL MEDICAL CLINICS PLLC
Entity type:Organization
Organization Name:INTERNATIONAL MEDICAL CLINICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZUNAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-858-1304
Mailing Address - Street 1:10310 W GRAND PKWY S
Mailing Address - Street 2:103
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406
Mailing Address - Country:US
Mailing Address - Phone:504-858-1304
Mailing Address - Fax:
Practice Address - Street 1:10310 W GRAND PKWY S
Practice Address - Street 2:103
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406
Practice Address - Country:US
Practice Address - Phone:504-858-1304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty