Provider Demographics
NPI:1386993103
Name:HOUSTON MEDICAL CONSULTING PC
Entity type:Organization
Organization Name:HOUSTON MEDICAL CONSULTING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:DELLOSSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-576-5711
Mailing Address - Street 1:441 ALBANY COURT
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093
Mailing Address - Country:US
Mailing Address - Phone:646-576-5711
Mailing Address - Fax:212-477-2885
Practice Address - Street 1:441 ALBANY COURT
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093
Practice Address - Country:US
Practice Address - Phone:646-576-5711
Practice Address - Fax:212-477-2885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197294207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty