MD1961 LLC

Surgery Physician · Baytown, TX

Organization Active NPI

NPI number 1780150995

Practice location

4201 Garth Rd Ste 301
Baytown, TX 77521-3156
Phone
(281) 422-9811
Fax
(281) 420-1262

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NPI record

NPI
1780150995
Entity type
Organization (Type 2)
Enumeration date
October 16, 2018
Last updated
October 16, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X — —

Authorized official

Name
Carla Pina
Title
Owner
Phone
(281) 422-9811

About MD1961 LLC

MD1961 LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 4201 Garth Rd Ste 301, Baytown, TX 77521-3156. The NPI number 1780150995 was assigned on October 16, 2018 and the record was last updated on October 16, 2018.

The authorized official for this organization is Carla Pina, Owner.

Frequently asked questions

What is the NPI number of MD1961 LLC?

The NPI number is 1780150995.

What is the phone number of MD1961 LLC?

The phone number listed for the practice location is (281) 422-9811.

Where is MD1961 LLC located?

4201 Garth Rd Ste 301, Baytown, TX 77521-3156.

What is the taxonomy code for MD1961 LLC?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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