Northwest Infectious Disease And Travel Medicine, P.A.

LBN: Northwest Infectious Disease And Travel Medicine, P.A.
Northwest Infectious Disease And Travel Medicine, P.A. is an health care organization with primary practice located at 5509 Cornish St. , Houston TX 77007-4303. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Northwest Infectious Disease And Travel Medicine, P.A. can be contacted via phone (713) 831-5089, or through Wattanamano, Pornthep via phone (713) 384-3229.

Contact Information

Primary practice address
5509 Cornish St. Houston TX 77007-4303
Fax: (713) 360-7715
Website:
Authorized official contact:
Name: Wattanamano, Pornthep Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X Texas

Profile Details

NPI number 1861496309
LBN Legal business name Northwest Infectious Disease And Travel Medicine, P.A.
DBA Doing business as
Authorized official Wattanamano, Pornthep Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861496309 NPPES
Texas MEDICAID 171630001

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