Provider Demographics
NPI:1699744540
Name:ASSOCIATED INTERNAL MEDICINE CONSULTANTS, PLLC
Entity type:Organization
Organization Name:ASSOCIATED INTERNAL MEDICINE CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:O
Authorized Official - Last Name:AJATTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-252-9993
Mailing Address - Street 1:PO BOX 300862
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77230-0862
Mailing Address - Country:US
Mailing Address - Phone:281-252-9993
Mailing Address - Fax:281-252-9997
Practice Address - Street 1:9293 BUFFALO SPEEDWAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-4422
Practice Address - Country:US
Practice Address - Phone:281-252-9993
Practice Address - Fax:281-252-9997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00334XMedicare PIN