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Organization

MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A

Active
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Organization

MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMAL A. RAZZACK M.D. (PHYSICIAN)
(713) 464-8099
Entity
Organization

Contact information

Practice address
18300 KATY FWY STE 615, HOUSTON, TX 77094-1494
(713) 464-8099
(713) 465-1921
Mailing address
10837 KATY FWY, SUITE 250, HOUSTON, TX 77079-2205
(713) 464-8099
(713) 465-1921

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K4205
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10023338
AMERIGROUP
TX
05
151461401
TX
01
1831192319
NPI
TX
01
5672615
AETNA
TX
01
8F9180
BCBS
TX
01
K4205
TEXAS LICENSE
TX
Enumeration date
02/22/2007
Last updated
08/12/2024
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