Azzam, Jamil Teofilo
Azzam, Jamil Teofilo is an sole proprietor health care provider with primary practice located at 6621 Fannin , Houston TX 77030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Azzam, Jamil Teofilo can be contacted via phone (832) 822-3441.Contact Information
Primary practice address
6621 Fannin
Houston TX 77030
Phone: (832) 822-3441
Fax: (832) 825-3435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D6570 | Texas |
Profile Details
| NPI number | 1134125057 |
|---|---|
| LBN Legal business name | Azzam, Jamil Teofilo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Feb 8th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134125057 | NPPES |
| Texas | MEDICAID | 105975003 |
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