Organization
PAN-AMERICAN OB-GYN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENO LOUREIRO MIGUEL MD (PHYSICIAN OWNER)
(713) 694-6600
Entity
Organization
Contact information
Practice address
6031 AIRLINE DR, HOUSTON, TX 77076-4209
(713) 694-6600
(713) 694-6616
Mailing address
6031 AIRLINE DR, HOUSTON, TX 77076-4209
(713) 694-6600
(713) 694-6616
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
L5466
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026JV
BCBS
—
01
—
10004951
AMERIGROUP
TX
Enumeration date
04/23/2007
Last updated
09/09/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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