Provider Demographics
NPI:1568830560
Name:MD REQUEST HOSPITALISTS, P.L.L.C.
Entity type:Organization
Organization Name:MD REQUEST HOSPITALISTS, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COFOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTOREK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-255-7011
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:SUITE C623
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2571
Mailing Address - Country:US
Mailing Address - Phone:972-566-6366
Mailing Address - Fax:877-722-7085
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:SUITE C623
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2571
Practice Address - Country:US
Practice Address - Phone:972-566-6366
Practice Address - Fax:877-722-7085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty