Organization Active NPI

Luxor Medical PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1831413020
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4793 Issued in TX
Legal business name
LUXOR MEDICAL PA
Practice address
800 Peakwood Dr
Suite 4a
Houston, TX 77090-2900
Phone
(832) 286-1664
Fax
(832) 286-1849
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Michael Girgis, M.D.
Title
Owner
Phone
(832) 286-1664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M4793 TX Primary

Addresses

Primary practice location

800 Peakwood Dr
Suite 4a
Houston, TX 77090-2900

Mailing address

800 Peakwood Dr
Suite 4a
Houston, TX 77090-2900
Phone (832) 286-1664

Other identifiers 4

IdentifierTypeStateIssuer
214703503OtherTXMEDICAID CSHCN (CHILDREN SPECIAL HEALTH CARE NEEDS) GROUP NUMBER
214703502OtherTXMEDICAID TH STEPS GROUP NUMBER
0070TEOtherTXBCBS GROUP NUMBER
214703501MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1831413020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR",
            "address_2": "SUITE 4A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902900",
            "telephone_number": "832-286-1664",
            "fax_number": "832-286-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR",
            "address_2": "SUITE 4A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902900",
            "telephone_number": "832-286-1664",
            "fax_number": "832-286-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXOR MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-286-1664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSHCN (CHILDREN SPECIAL HEALTH CARE NEEDS) GROUP NUMBER",
            "identifier": "214703503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TH STEPS GROUP NUMBER",
            "identifier": "214703502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0070TE",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214703501",
            "state": "TX"
        }
    ],
    "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 Feb 1, 2011; 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.