Organization Active NPI

Emerald Pediatric Clinic PA

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1083861231
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EMERALD PEDIATRIC CLINIC PA
Practice address
11511 Veterans Memorial Dr Ste 300
Houston, TX 77067-2603
Phone
(281) 444-7726
Fax
(281) 444-9426
NPI assigned
Aug 19, 2008
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Dr. Imran Baig
Title
Medical Doctor
Phone
(281) 444-7726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

11511 Veterans Memorial Dr Ste 300
Houston, TX 77067-2603

Mailing address

11511 Veterans Memorial Dr Ste 300
Houston, TX 77067-2613
Phone (281) 444-7726

Other identifiers 1

IdentifierTypeStateIssuer
1093811432OtherTXIND NPI

National Provider Directory

National Provider Directory
Tax ID family
Emerald Pediatric Clinic PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1083861231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 VETERANS MEMORIAL DR STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770672613",
            "telephone_number": "281-444-7726",
            "fax_number": "281-444-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 VETERANS MEMORIAL DR STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770672603",
            "telephone_number": "281-444-7726",
            "fax_number": "281-444-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD PEDIATRIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "281-444-7726",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1093811432",
            "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 May 26, 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.

Verify at the official NPI Registry.