Organization · NPI-2

Acs Primary Admitting Providers, P.A.

Internal Medicine · Houston, TX

NPI number1104197193

StatusActive

Last updated in NPPESApr 24, 2014

Details

NPI: 1104197193
Entity type: Organization (NPI-2)
Legal business name: Acs Primary Admitting Providers, P.A.
Organization subpart: No
Enumeration date: Jan 23, 2012
Last updated: Apr 24, 2014

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
207P00000X	Emergency Medicine	–	–
208M00000X	Hospitalist	–	–

Practice location

11800 Astoria Blvd
Houston, TX 77089-6041

Phone 925-924-1600 · Fax 924-924-0506

Mailing address

5000 Hopyard Rd
Suite 100
Pleasanton, CA 94588-3348

Phone 925-924-1600 · Fax 924-924-0506

Authorized official

Kristopher M. Smith
Cfo
9259241600

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