Provider Demographics
NPI:1104868975
Name:INPATIENT MEDICAL SERVICES, P.A.
Entity type:Organization
Organization Name:INPATIENT MEDICAL SERVICES, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-476-3900
Mailing Address - Street 1:3315 BURKE RD STE 108
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1873
Mailing Address - Country:US
Mailing Address - Phone:832-476-3900
Mailing Address - Fax:713-561-5704
Practice Address - Street 1:3315 BURKE RD STE 108
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1873
Practice Address - Country:US
Practice Address - Phone:832-476-3900
Practice Address - Fax:173-561-5704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0808404-01Medicaid
TX0808404-01Medicaid
TX0808404-01Medicaid
FL006694600Medicaid
VAC09087Medicare PIN
TX00591KMedicare PIN