Provider Demographics
NPI:1699332825
Name:EMBEE LIFESTYLE DOCS PLLC
Entity type:Organization
Organization Name:EMBEE LIFESTYLE DOCS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BANDANA
Authorized Official - Middle Name:N
Authorized Official - Last Name:CHAWLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-592-8900
Mailing Address - Street 1:4500 BISSONNET ST STE 355
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3124
Mailing Address - Country:US
Mailing Address - Phone:713-592-8900
Mailing Address - Fax:713-592-8904
Practice Address - Street 1:4500 BISSONNET ST STE 355
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3124
Practice Address - Country:US
Practice Address - Phone:713-592-8900
Practice Address - Fax:713-592-8904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty