Provider Demographics
NPI:1285914606
Name:CENTER FOR TRAVEL MEDICINE AND INFECTIOUS DISEASES OF HOUSTON, PA
Entity type:Organization
Organization Name:CENTER FOR TRAVEL MEDICINE AND INFECTIOUS DISEASES OF HOUSTON, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CORALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-444-1202
Mailing Address - Street 1:902 FROSTWOOD DR
Mailing Address - Street 2:SUITE 155
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2420
Mailing Address - Country:US
Mailing Address - Phone:713-444-1202
Mailing Address - Fax:
Practice Address - Street 1:902 FROSTWOOD DR
Practice Address - Street 2:SUITE 155
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2420
Practice Address - Country:US
Practice Address - Phone:713-444-1202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1769207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty