Organization
IRWIN S NOVAK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRWIN S NOVAK MD PA (PRESIDENT)
(713) 630-0228
Entity
Organization
Contact information
Practice address
1213 HERMANN DR, SUITE #745, HOUSTON, TX 77004-7018
(713) 630-0228
(713) 630-0468
Mailing address
1213 HERMANN DR, SUITE #745, HOUSTON, TX 77004-7018
(713) 630-0228
(713) 630-0468
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E2761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00LA63
BCBS OF TEXAS
TX
05
—
115445201
—
TX
01
—
826133304
RAILROAD MEDICARE
TX
Enumeration date
06/21/2007
Last updated
03/25/2011
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