Individual provider Active NPI

Jemilatu M Alharazim, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1649595125
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06514 Issued in TX
Practice address
7707 Fannin St Ste 195
Houston, TX 77054-1989
Phone
(713) 797-0045
Fax
(713) 797-1821
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06514 TX Primary

Addresses

Primary practice location

7707 Fannin St Ste 195
Houston, TX 77054-1989

Mailing address

PO Box 122338
Dallas, TX 75312-1989
Phone (281) 453-4213

Other practice location 1

561 W Medical Center Blvd Ste G
Webster, TX 77598-4240
Phone (281) 332-2348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000606 TX Practitioner - Physician Assistant 3971634122 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & ENT Associates PLLC CurrentSince Feb 4, 2023 Accepting new patients
Austin Family Allergy & Asthma, PA CurrentSince Feb 4, 2023 Accepting new patients
Allergy & ENT Associates, PLLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

14800 Frye Rd
Fl 2
Ft Worth, TX 76155

7707 Fannin St
Ste 195
Houston, TX 77054
Phone (713) 797-0045

561 W Medical Center Blvd
Ste G
Webster, TX 77598
Phone (281) 332-2348

Interoperability endpoints

  • Direct secure messaging: jalharazim466942@prddirect.texaschildrens.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1649595125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122338",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753121989",
            "telephone_number": "281-453-4213",
            "fax_number": "281-874-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST STE 195",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541989",
            "telephone_number": "713-797-0045",
            "fax_number": "713-797-1821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "561 W Medical Center Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984240",
            "country_code": "US",
            "telephone_number": "281-332-2348",
            "fax_number": "281-338-2696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALHARAZIM",
        "first_name": "JEMILATU",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.