Provider Demographics
NPI:1447318621
Name:TEXAS MEDICAL AND GERIATRIC CTR
Entity type:Organization
Organization Name:TEXAS MEDICAL AND GERIATRIC CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:AJIM
Authorized Official - Suffix:
Authorized Official - Credentials:MA MD
Authorized Official - Phone:713-951-0000
Mailing Address - Street 1:2000 CRAWFORD
Mailing Address - Street 2:730
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002
Mailing Address - Country:US
Mailing Address - Phone:713-951-0000
Mailing Address - Fax:713-951-0001
Practice Address - Street 1:2000 CRAWFORD
Practice Address - Street 2:730
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002
Practice Address - Country:US
Practice Address - Phone:713-951-0000
Practice Address - Fax:713-951-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty