Organization
MEDICAL CENTER NEONATAL ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BESMA I ADHAM MD (CHIEF EXECUTIVE OFFICER)
(713) 796-0003
Entity
Organization
Contact information
Practice address
5615 KIRBY, #440, HOUSTON, TX 77005
(713) 796-0003
(713) 796-0005
Mailing address
PO BOX 270898, HOUSTON, TX 77277
(713) 796-0003
(713) 796-0005
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U97Q
BCBS
TX
05
—
085387101
—
TX
Enumeration date
03/28/2007
Last updated
10/18/2012
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