Dr. Hamid Reza Jalali, D.O., P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

H0491 Issued in TX

Legal business name

DR. HAMID REZA JALALI, D.O., P.A.

Practice address

11946 Hwy 62 North
Orange, TX 77632

Phone

(409) 745-4421

NPI assigned

Sep 16, 2008

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hamid Reza Jalali, D.O., P.A.NPI 1033115076

Title

Physician

Phone

(409) 745-4421

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hamid R. Jalali, D.O.

  • Family Medicine Physician
  • Orange, TX
  • NPI 1033115076
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1205085164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "MAURICEVILLE",
            "state": "TX",
            "postal_code": "776260966",
            "telephone_number": "409-745-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11946 HWY 62 NORTH",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "77632",
            "telephone_number": "409-745-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HAMID REZA JALALI, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "JALALI",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "409-745-4421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., P.A."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H0491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122951002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Orange, TX
• Providers in Orange, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.