Active NPI
Galleria Medical Resources LLC
- Surgery Physician
- Houston, TX
National Provider Identifier
1750825097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- M8186
- Legal business name
- GALLERIA MEDICAL RESOURCES LLC
- Practice address
- 5757 Westheimer Rd Ste 100B
Houston, TX 77057 - Phone
- (214) 390-7697
- Fax
- (972) 432-6692
- NPI assigned
- Dec 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Mirza, M.D.
- Title
- President
- Phone
- (214) 390-7697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M8186 | TX | Primary |
Addresses
Primary practice location
5757 Westheimer Rd Ste 100B
Houston, TX 77057
Mailing address
PO Box 22697
Houston, TX 77227-2697
Phone (214) 390-7697
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531267200000",
"number": "1750825097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22697",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772272697",
"telephone_number": "214-390-7697",
"fax_number": "972-432-6692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 WESTHEIMER RD STE 100B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77057",
"telephone_number": "214-390-7697",
"fax_number": "972-432-6692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALLERIA MEDICAL RESOURCES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-06",
"last_updated": "2018-07-11",
"status": "A",
"authorized_official_last_name": "MIRZA",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-390-7697",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TX",
"license": "M8186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Galleria Center for Extremity Surgery, LLC
- Galleria Center for Musculoskeletal Surgery
- Galleria Center for Neuromuscular Surgery, LLC
- Galleria Center for Plastic Surgery, LLC
- Galleria Foot and Ankle, LLC
- Galleria MRI & Diagnostic, LLC
- Galleria Pain Management Surgery Center, LLC
- Galleria Reconstructive Surgery at Brae Valley
- Galleria Sleep Diagnostics, LLC
- Galleria Surgery Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.