NPIMap

Organization Active NPI

Haider Afzal MD PA

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1699003053
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3842 Issued in TX
Legal business name
HAIDER AFZAL MD PA
Practice address
1682 W Baker Rd Ste B
Baytown, TX 77521-2286
Phone
(281) 428-8203
Fax
(281) 428-0624
NPI assigned
Nov 24, 2009
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Haider Afzal, MDNPI 1083621023
Title
Owner
Phone
(281) 428-8203

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
Family Medicine Physician 207Q00000X M3842 TX Primary

Addresses

Primary practice location

1682 W Baker Rd Ste B
Baytown, TX 77521-2286

Mailing address

1682 West Baker Rd
Suite B
Baytown, TX 77521
Phone (281) 428-8203

Other identifiers 2

IdentifierTypeStateIssuer
297617701MedicaidTX
B0147692OtherDPS

Other names 1

  • Baytown Family Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100621000899 TX Part B Supplier - Clinic/Group Practice 3577694496 Receives reassigned benefits from 13 practitioners
Practice locations: Houston, TX; Baytown, TX

National Provider Directory

National Provider Directory

Locations

1113 W Baker Rd
Baytown, TX 77521
Phone (281) 201-8243

1682 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 422-5000

1690 W Baker Rd
Baytown, TX 77521

1690 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 428-8203

15119 Wallisville Rd
Houston, TX 77049
Phone (832) 538-0243

15119 Wallisville Rd
Ste 100A
Houston, TX 77049

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699003053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1682 WEST BAKER RD",
            "address_2": "SUITE B",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "281-428-8203",
            "fax_number": "281-428-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 W BAKER RD STE B",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212286",
            "telephone_number": "281-428-8203",
            "fax_number": "281-428-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIDER AFZAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AFZAL",
        "authorized_official_first_name": "HAIDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-428-8203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297617701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "B0147692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baytown Family Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Baytown Family Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.