Provider Demographics
NPI:1063601938
Name:NORTH HOUSTON INTERNAL MEDICINE, PA
Entity type:Organization
Organization Name:NORTH HOUSTON INTERNAL MEDICINE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHISH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPOOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-307-5020
Mailing Address - Street 1:330 RAYFORD RD # 331
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1980
Mailing Address - Country:US
Mailing Address - Phone:713-307-5020
Mailing Address - Fax:
Practice Address - Street 1:150 PINE FOREST DR STE 110
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-5303
Practice Address - Country:US
Practice Address - Phone:281-709-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2023-12-07
Deactivation Date:2008-05-08
Deactivation Code:
Reactivation Date:2008-11-17
Provider Licenses
StateLicense IDTaxonomies
TXK2225207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G48021Medicare UPIN