National Provider Identifier Database

IBN SINA COMMUNITY CLINIC PHARMACY
Adolescent Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.


Contact Information

IBN SINA COMMUNITY CLINIC PHARMACY
11226 S WILCREST DR
HOUSTON, TX77099
Phone: 281-977-7462
Fax: 281-977-7472
Website:
Specialty Taxonomy Code
* Adolescent Medicine 207QA0000X

* Indicates primary specialty

NPI Profile & details for IBN SINA COMMUNITY CLINIC PHARMACY

NPI Number 1225630296
Legal business name
LBN
IBN SINA COMMUNITY CLINIC PHARMACY
Authorized official BADRI TAVASOLIAN - (PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 11/13/2020
Last updated 11/13/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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