Organization Active NPI

Ear, Nose, Throat and Allergy Clinic PLLC

  • Otolaryngic Allergy Physician
  • Houston, TX
National Provider Identifier
1235381690
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
Legal business name
EAR, NOSE, THROAT AND ALLERGY CLINIC PLLC
Practice address
4140 Southwest Fwy Ste 510
Houston, TX 77027-7311
Phone
(713) 621-2556
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Majed Ibrahim, SURGICAL TEC
Title
President
Phone
(713) 621-2556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0602X Primary

Addresses

Primary practice location

4140 Southwest Fwy Ste 510
Houston, TX 77027-7311

Mailing address

4140 Southwest Fwy Ste 510
Houston, TX 77027-7311
Phone (713) 621-2556

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAIDBA

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1235381690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 SOUTHWEST FWY STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277311",
            "telephone_number": "713-621-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 SOUTHWEST FWY STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277311",
            "telephone_number": "713-621-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE, THROAT AND ALLERGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MAJED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-621-2556",
        "authorized_official_credential": "SURGICAL TEC"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "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 16, 2008; 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.