Organization
HOUSTON INFECTIOUS DISEASES ASSOCIATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA A KIELHOFNER MD (TREASURER)
(713) 791-4882
Entity
Organization
Contact information
Practice address
6624 FANNIN, SUITE 1410, HOUSTON, TX 77030
(713) 791-4882
(713) 791-4159
Mailing address
6624 FANNIN, SUITE 1410, HOUSTON, TX 77030
(713) 791-4882
(713) 791-4159
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82T474
BLUE CROSS
—
01
—
82T4AC
BLUE CROSS
—
01
—
82T4CH
BLUE CROSS
—
01
—
82T4CM
BLUE CROSS
—
01
—
89C791
BLUE CROSS
—
01
—
89C792
BLUE CROSS
—
01
—
89C793
BLUE CROSS
—
01
—
89C794
BLUE CROSS
—
Enumeration date
08/31/2006
Last updated
08/22/2020
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