Individual
ABDUL Q MEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
403 COACHMAN LN, HOUSTON, TX 77024-6401
(713) 464-6104
(713) 464-3955
Mailing address
P O BOX 73265, HOUSTON, TX 77273-3265
(281) 580-9030
(281) 580-2725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E9804
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
E9804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050043865
MEDICARE RAILROAD
TX
05
—
120535302
—
TX
05
—
120535307
—
TX
01
—
84Y621
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/02/2005
Last updated
01/16/2013
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