Organization Active NPI

Syed a Raza MD PLLC

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1427489269
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SYED A RAZA MD PLLC
Doing business as
Premiere Vein and Vascular Center
Practice address
11806 Legend Manor Dr
Houston, TX 77082-3078
Phone
(832) 373-8510
Fax
(713) 800-6002
NPI assigned
Dec 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Authorized official

Name
Syed A Raza, MDNPI 1740252139
Title
Owner
Phone
(832) 373-8510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

11806 Legend Manor Dr
Houston, TX 77082-3078

Mailing address

11806 Legend Manor Dr
Houston, TX 77082-3078
Phone (832) 373-8510

Other names 1

  • Premiere Vein and Vascular Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140416001218 TX Part B Supplier - Clinic/Group Practice 0749412252 Receives reassigned benefits from 4 practitioners
Practice locations: Cypress, TX; Richmond, TX; Houston, TX; Jersey Village, TX

National Provider Directory

National Provider Directory

Locations

19255 Park Row
Ste 201
Houston, TX 77084
Phone (281) 369-5262

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1427489269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11806 LEGEND MANOR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770823078",
            "telephone_number": "832-373-8510",
            "fax_number": "713-800-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11806 LEGEND MANOR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770823078",
            "telephone_number": "832-373-8510",
            "fax_number": "713-800-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED A RAZA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-373-8510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premiere Vein and Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 4, 2013; 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.