I-10 Ear Nose and Throat PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

I-10 EAR NOSE AND THROAT PA

Practice address

1140 Westmont Dr Ste 445
Houston, TX 77015

Phone

(713) 455-7555

Fax

(713) 455-7771

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Amani R Gobran, MD

Title

President

Phone

(713) 455-7555

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• I-10 Ear, Nose and Throat, P.A. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celina Theresa Oliveira, AU.D.

  • Audiologist
  • Laredo, TX
  • NPI 1194972547
  NPD (past)
• Rashida Leann Weaver, M.S. CCC/A

  • Audiologist
  • Katy, TX
  • NPI 1861642670
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1801929450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR STE 445",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154368",
            "telephone_number": "713-455-7555",
            "fax_number": "713-455-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR STE 445",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77015",
            "telephone_number": "713-455-7555",
            "fax_number": "713-455-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13111 E Frwy",
            "address_2": "#308",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770155819",
            "country_code": "US",
            "telephone_number": "713-455-7555",
            "fax_number": "713-455-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "I-10 EAR NOSE AND THROAT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "GOBRAN",
        "authorized_official_first_name": "AMANI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-455-7555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083125701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "040006005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83T881",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "389996",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I-10 Ear, Nose and Throat, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Otolaryngology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.