Internal Medicine Associates of South Texas, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N3283 Issued in TX

Legal business name

INTERNAL MEDICINE ASSOCIATES OF SOUTH TEXAS, PLLC

Practice address

320 Mercedes St
Benbrook, TX 76126-2593

Phone

(817) 249-7323

Fax

(817) 887-2193

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rubia Sadiq, MD

Title

Owner

Phone

(817) 249-7323

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1104150119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MERCEDES ST",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262593",
            "telephone_number": "817-249-7323",
            "fax_number": "817-887-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MERCEDES ST",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262593",
            "telephone_number": "817-249-7323",
            "fax_number": "817-887-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF SOUTH TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "SADIQ",
        "authorized_official_first_name": "RUBIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-249-7323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N3283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN PERMIT",
            "identifier": "N3283",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.