Provider Demographics
NPI:1841877289
Name:DOCTOR AT HOME LLC
Entity type:Organization
Organization Name:DOCTOR AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA-MOWATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-863-0492
Mailing Address - Street 1:427 W 20TH ST STE 610
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2431
Mailing Address - Country:US
Mailing Address - Phone:713-867-9637
Mailing Address - Fax:713-863-9637
Practice Address - Street 1:427 W 20TH ST STE 610
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2431
Practice Address - Country:US
Practice Address - Phone:713-867-9637
Practice Address - Fax:713-863-9637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty