Active NPI
Pabj LP
- Physician Assistant
- Houston, TX
National Provider Identifier
1063468445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- PABJ LP
- Practice address
- 11800 FM 1960 Rd W
Houston, TX 77065-3840 - Phone
- (281) 664-2107
- Fax
- (281) 955-5875
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David R Mack, MD
- Title
- Managing Partner
- Phone
- (281) 664-2107
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | TX | ||
| Physician Assistant | 363A00000X | Primary | ||
| Physician Assistant | 363A00000X | PA05232 | TX | |
| Physician Assistant | 363A00000X | TX | ||
| Physician Assistant | 363A00000X | PA02925 | TX | |
| Physician Assistant | 363A00000X | PA01427 | TX |
Addresses
Primary practice location
11800 FM 1960 Rd W
Houston, TX 77065-3840
Mailing address
11800 FM 1960 Rd W
Houston, TX 77065-3840
Phone (281) 664-2107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0033NL | Other | TX | BC/BS PIN |
National Provider Directory
National Provider DirectoryLocations
13300 Hargrave Rd
Ste 400
Houston, TX 77070
Phone (281) 664-2107
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Cypress, TX
- NPI 1013962810
-
- Physician Assistant
- Houston, TX
- NPI 1033300686
-
- Physician Assistant
- College Station, TX
- NPI 1285930750
-
- Physician Assistant
- Cypress, TX
- NPI 1699013433
-
- Physician Assistant
- Nacogdoches, TX
- NPI 1790986560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480464000000",
"number": "1063468445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 FM 1960 RD W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653840",
"telephone_number": "281-664-2107",
"fax_number": "281-955-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 FM 1960 RD W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653840",
"telephone_number": "281-664-2107",
"fax_number": "281-955-5875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PABJ LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2016-11-30",
"status": "A",
"authorized_official_last_name": "MACK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "281-664-2107",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05232",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02925",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01427",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PIN",
"identifier": "0033NL",
"state": "TX"
}
],
"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 Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.