Provider Demographics
NPI:1962876136
Name:AMERICAN SINUS INSTITUTE PLLC
Entity type:Organization
Organization Name:AMERICAN SINUS INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:HONRUBIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-804-3351
Mailing Address - Street 1:1801 BINZ ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7296
Mailing Address - Country:US
Mailing Address - Phone:281-804-3351
Mailing Address - Fax:
Practice Address - Street 1:1801 BINZ ST
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7296
Practice Address - Country:US
Practice Address - Phone:281-804-3351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-25
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174400000X, 207KA0200X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ8273OtherMEDICAL LICENSE NUMBER - DR. VINCENT HONRUBIA