Haitham Jifi MD PA - Beeville Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HAITHAM JIFI MD PA - BEEVILLE INC

Practice address

301 S Hillside Dr
Suite 13
Beeville, TX 78102-5307

Phone

(361) 779-5456

NPI assigned

Dec 5, 2015

Last updated

Dec 5, 2015By 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

Haitham Jifi Bahlool, MDNPI 1063447514

Title

President

Phone

(361) 779-5456

Specialties & licenses 2

Addresses

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.

• Haitham Jifi-Bahlool, MD

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1063447514
  Authorized official Same address or phone

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

{
    "created_epoch": "1449273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449273600000",
    "number": "1629443403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S HILLSIDE DR",
            "address_2": "SUITE 13",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025307",
            "telephone_number": "361-991-0112",
            "fax_number": "361-991-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S HILLSIDE DR",
            "address_2": "SUITE 13",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025307",
            "telephone_number": "361-779-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAITHAM JIFI MD PA - BEEVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-05",
        "last_updated": "2015-12-05",
        "status": "A",
        "authorized_official_last_name": "JIFI BAHLOOL",
        "authorized_official_first_name": "HAITHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-779-5456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Gonzales, SLP
• Heather Denise Gonzalez, M.S. CCC-SLP
• Grady C. Hogue, Jr., M.D., P.a.
• Terry Greenup, ATC
• H-E-B, LP (HEB Pharmacy #412)
• James A Hatfield, D.C.
• Health Inc (The Shepherds Community Health Center)
• Efigenia Herrera, SLP
• Mildred Marie Hillis
• Zishan Anis Hirani, MD

• Primary Care Clinic/Center in Beeville, TX
• Providers in Beeville, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2015; 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.