Organization
INPATIENT CARE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAJID A MIRZA D.O. (OWNER)
(832) 724-3472
Entity
Organization
Contact information
Practice address
500 W MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 942-8001
(281) 724-1919
Mailing address
PO BOX 58294, WEBSTER, TX 77598-8294
(281) 942-8001
(281) 724-1919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099YB
BCBSTX
TX
05
—
342662901
—
TX
01
—
DW0865
RRMEDICARE
TX
Enumeration date
05/25/2011
Last updated
08/22/2016
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