DR. HAMID REZA JALALI D.O. P.A. NPI 1205085164

NPI Information

NPI: 1205085164
Provider Name: DR. HAMID REZA JALALI, D.O., P.A.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
11946 HWY 62 NORTH
ORANGE, TX
ZIP 77632
Phone: (409) 745-4421
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DR. HAMID REZA JALALI, D.O., P.A. is a general practice in Orange, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. HAMID REZA JALALI, D.O., P.A. NPI is 1205085164. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11946 HWY 62 NORTH
ORANGE, TX
ZIP 77632
Phone: (409) 745-4421

The provider's authorized official is Hamid Reza Jalali .
The authorized official title is Physician and has the following contact phone number (409) 745-4421.

The enumeration date for this NPI number is 9/16/2008 and was last updated on 9/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		H0491	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	122951002	MEDICAID	TEXAS
2	PENDING	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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