Organization Active NPI

Plastic Surgery & ENT

  • Otolaryngology/Facial Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1033513478
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
PLASTIC SURGERY & ENT
Practice address
4126 Southwest Fwy
Suite 1210
Houston, TX 77027-7310
Phone
(713) 621-2556
Fax
(832) 538-1619
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Majed Ibrahim
Title
Owner
Phone
(713) 621-2556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

4126 Southwest Fwy
Suite 1210
Houston, TX 77027-7310

Mailing address

4126 Southwest Fwy
Suite 1210
Houston, TX 77027-7310
Phone (713) 621-2556

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1033513478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY",
            "address_2": "SUITE 1210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277310",
            "telephone_number": "713-621-2556",
            "fax_number": "832-538-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY",
            "address_2": "SUITE 1210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277310",
            "telephone_number": "713-621-2556",
            "fax_number": "832-538-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY & ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MAJED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-621-2556",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.