Provider Demographics
NPI:1174702799
Name:PEDRO M. CARAM, M.D.,P.A.
Entity type:Organization
Organization Name:PEDRO M. CARAM, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:MARIO
Authorized Official - Last Name:CARAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-797-1305
Mailing Address - Street 1:909 FROSTWOOD DR
Mailing Address - Street 2:207
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:713-797-1305
Mailing Address - Fax:713-797-9943
Practice Address - Street 1:909 FROSTWOOD DR
Practice Address - Street 2:207
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2301
Practice Address - Country:US
Practice Address - Phone:713-797-1305
Practice Address - Fax:713-797-9943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0231174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXOOK79EMedicare PIN