Physicians Diversified Group, P.A.
LBN: Physicians Diversified Group, P.A.
Physicians Diversified Group, P.A. is an health care organization with primary practice located at 2802 Garth Rd 110, Baytown TX 77521-3900. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Physicians Diversified Group, P.A. can be contacted via phone (281) 422-5500, or through Syed, Ghyasuddin via phone (281) 422-5500.
Contact Information
Primary practice address
2802 Garth Rd 110
Baytown TX 77521-3900
Phone: (281) 422-5500
Fax: (281) 422-5560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | L3493 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L3493 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X |
Profile Details
| NPI number | 1063742039 |
|---|---|
| LBN Legal business name | Physicians Diversified Group, P.A. |
| DBA Doing business as | |
| Authorized official | Syed, Ghyasuddin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 13th, 2010 |
| Last updated | Apr 26th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063742039 | NPPES |
| Texas | Other | L3493 | LICENSE NUMBER |
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