Provider Demographics
NPI:1306145412
Name:ANNIE F URALIL MD PA
Entity type:Organization
Organization Name:ANNIE F URALIL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:URALIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-722-1951
Mailing Address - Street 1:PO BOX 940776
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-7776
Mailing Address - Country:US
Mailing Address - Phone:832-722-1951
Mailing Address - Fax:281-933-3327
Practice Address - Street 1:1220 BLALOCK RD
Practice Address - Street 2:STE 160
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6473
Practice Address - Country:US
Practice Address - Phone:832-722-1951
Practice Address - Fax:281-933-3327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9169208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty