Organization
NORTHWOODS PEDIATRIC CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHZAD ISLAM SHAH M.D (PRESIDENT)
(281) 296-7770
Entity
Organization
Contact information
Practice address
25214 BOROUGH PARK DR, SPRING, TX 77380-3519
(281) 296-7770
(281) 296-9777
Mailing address
25214 BOROUGH PARK DR, SPRING, TX 77380-3519
(281) 296-7770
(281) 296-9777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K-1481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0924573 03
—
TX
Enumeration date
08/19/2006
Last updated
05/10/2022
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