Provider Demographics
NPI:1699979559
Name:PATRICK J. MCNAMARA, M.D., P.A.
Entity type:Organization
Organization Name:PATRICK J. MCNAMARA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-524-4837
Mailing Address - Street 1:1512 W ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-4106
Mailing Address - Country:US
Mailing Address - Phone:713-524-4837
Mailing Address - Fax:713-529-8350
Practice Address - Street 1:1512 W ALABAMA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-4106
Practice Address - Country:US
Practice Address - Phone:713-524-4837
Practice Address - Fax:713-529-8350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7447174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G7447OtherLICENSE
TX00784UMedicare ID - Type Unspecified
G7447OtherLICENSE