Organization Active NPI

Prostate Laser Center

  • Vascular & Interventional Radiology Physician
  • Houston, TX
National Provider Identifier
1639522071
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
Q1840 Issued in TX
Legal business name
PROSTATE LASER CENTER
Practice address
6624 Fannin St.
Suite 2580
Houston, TX 77030-2337
Phone
(713) 904-4014
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Ara Karamanian, MD
Title
Medical Director
Phone
(713) 904-4014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Q1840 TX Primary

Addresses

Primary practice location

6624 Fannin St.
Suite 2580
Houston, TX 77030-2337

Mailing address

6624 Fannin St.
Suite 2580
Houston, TX 77030-2337
Phone (713) 904-4014

National Provider Directory

National Provider Directory

Locations

6624 Fannin St
Ste 2580
Houston, TX 77030
Phone (713) 797-0808

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1639522071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST.",
            "address_2": "SUITE 2580",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302337",
            "telephone_number": "713-904-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST.",
            "address_2": "SUITE 2580",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302337",
            "telephone_number": "713-904-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTATE LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "KARAMANIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-904-4014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "Q1840",
            "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 Jan 13, 2017; 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.