Memorial Medical Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEMORIAL MEDICAL ASSOCIATES PA

Practice address

6565 Fannin St
Houston, TX 77030-2703

Phone

(281) 252-9993

NPI assigned

May 31, 2013

Organization subpart

No

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

Authorized official

Name

Shouieb Tambra, M.D.NPI 1154517688

Title

Provider

Phone

(832) 857-6669

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Usrc Houston Newco Home LLC

  dba US Renal Care Stadium Home Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
  • NPI 1891312559

  Member Of

  NPD member

Locations

Practitioners 1

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

• Shouieb Tambra, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1154517688
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1942647987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56072",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772566072",
            "telephone_number": "713-426-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "281-252-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "TAMBRA",
        "authorized_official_first_name": "SHOUIEB",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "832-857-6669",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Home Dialysis, LLC
• Memorial Hospice Care, Inc.
• Memorial House Calls PLLC
• Memorial Houston Surgery Center, LLC (Memorial Houston Surgery Center)
• Memorial Long Care, Inc.
• Memorial Medical Center (Ashford Gardens)
• Memorial Medical Center (Solera at West Houston)
• Memorial Medical Staffing Services
• Memorial Medical Supply
• Memorial Medical Supply, Inc.

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.