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Organization

PEDIATRIC HEALTHCARE OF NORTHWEST HOUSTON PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TASNEEM PALANPURWALA (ADMINISTRATOR)
(281) 664-2152
Entity
Organization

Contact information

Practice address
12015 LOUETTA RD STE 100, HOUSTON, TX 77070-1148
(281) 664-2152
(281) 257-3514
Mailing address
11840 FM 1960 RD W, HOUSTON, TX 77065-3840
(832) 912-7044
(832) 912-7033

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208000000X
Pediatrics Physician
Primary
363LF0000X
Family Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
035826904
TX
01
1063452548
NPI
01
1134124779
NPI
TX
01
1184172462
NPI
05
128256808
TX
01
1295737286
NPI
05
130902308
TX
01
1386611721
NPI
01
1396715132
NPI
01
1578701439
NPI
05
159509205
TX
05
160185803
TX
01
1710354907
NPI
01
1780651133
NPI
05
178813504
TX
01
1841389897
NPI
TX
05
194471202
TX
01
1992772990
NPI
01
G86571
UPIN
01
H26244
UPIN
01
I53967
UPIN
Enumeration date
02/02/2007
Last updated
07/02/2019
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