Provider Demographics
NPI:1124244462
Name:MED-CURE PRIMARY CARE PHYSICIANS PA
Entity type:Organization
Organization Name:MED-CURE PRIMARY CARE PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZMUDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KESHWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-776-3906
Mailing Address - Street 1:11226 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-3604
Mailing Address - Country:US
Mailing Address - Phone:281-498-7727
Mailing Address - Fax:281-498-5293
Practice Address - Street 1:11226 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-3604
Practice Address - Country:US
Practice Address - Phone:281-498-7727
Practice Address - Fax:281-498-5293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX079575902Medicaid
TX0001BMMedicare PIN