Provider Demographics
NPI:1023274487
Name:CHILDREN'S DOCTORS
Entity type:Organization
Organization Name:CHILDREN'S DOCTORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NEGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZIRINIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-807-0029
Mailing Address - Street 1:7580 FANNIN ST
Mailing Address - Street 2:100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1900
Mailing Address - Country:US
Mailing Address - Phone:713-807-0029
Mailing Address - Fax:713-529-4784
Practice Address - Street 1:7580 FANNIN ST
Practice Address - Street 2:100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1900
Practice Address - Country:US
Practice Address - Phone:713-807-0029
Practice Address - Fax:713-529-4784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5658208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133454205Medicaid
TX179090908Medicaid
TX133454201Medicaid