# MEDICAL CENTER NEONATAL ASSOC PA

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

## Provider details

- **NPI number:** 1740309004
- **Authorized official:** BESMA I ADHAM MD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (713) 796-0003

## Contact information

- **Practice address:** 5615 KIRBY, \#440, HOUSTON, TX 77005
- **Practice address phone:** (713) 796-0003
- **Practice address fax:** (713) 796-0005
- **Mailing address:** PO BOX 270898, HOUSTON, TX 77277
- **Mailing address phone:** (713) 796-0003
- **Mailing address fax:** (713) 796-0005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 10/18/2012