Provider Demographics
NPI:1588249403
Name:CYRUS HEALTHCARE AND MANAGEMENT, PLLC
Entity type:Organization
Organization Name:CYRUS HEALTHCARE AND MANAGEMENT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROOZBEH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-948-2466
Mailing Address - Street 1:2300 HIGHWAY 365 STE 150
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-6293
Mailing Address - Country:US
Mailing Address - Phone:409-401-5864
Mailing Address - Fax:409-344-8600
Practice Address - Street 1:2300 HIGHWAY 365 STE 150
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-6293
Practice Address - Country:US
Practice Address - Phone:409-401-5864
Practice Address - Fax:409-344-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX423123501Medicaid
TXH000PJ8301OtherBCBS OF TEXAS