# GREATER TEXAN HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053762104
- **Authorized official:** AZIM KARIM MD (MANAGER)
- **Authorized official phone:** (713) 248-1895

## Contact information

- **Practice address:** 10021 MAIN ST, SUITE B-2, HOUSTON, TX 77025-5224
- **Practice address phone:** (713) 248-1895
- **Practice address fax:** (713) 668-6248
- **Mailing address:** 10021 MAIN ST, SUITE B-2, HOUSTON, TX 77025-5224
- **Mailing address phone:** (713) 248-1895
- **Mailing address fax:** (713) 668-6248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | Q2911 | TX | Yes |

## Other

- **Enumeration date:** 06/29/2016
- **Last updated:** 12/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 399618ZM80 | MEDICARE PTAN | TX |