Organization
FAME PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD FARRUKH NOOR MD (AUTHORIZED REP/OWNER)
(713) 955-7436
Entity
Organization
Contact information
Practice address
11003 RESOURCE PKWY, SUITE 105, HOUSTON, TX 77089-6141
(713) 955-7436
(281) 741-9475
Mailing address
11003 RESOURCE PKWY, SUITE 105, HOUSTON, TX 77089-6141
(713) 955-7436
(281) 741-9475
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3611600-01
—
TX
Enumeration date
03/30/2016
Last updated
10/21/2016
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