Basic Information
| Provider Information | |||||||||
| NPI: | 1558660886 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JAIN | ||||||||
| FirstName: | MAHIM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6621 FANNIN ST STE A170 | ||||||||
| Address2: | TEXAS CHILDRENS HOSPITAL | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328241192 | ||||||||
| FaxNumber: | 8328251187 | ||||||||
| Practice Location | |||||||||
| Address1: | 6621 FANNIN ST STE A170 | ||||||||
| Address2: | TEXAS CHILDRENS HOSPITAL | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328241192 | ||||||||
| FaxNumber: | 8328251187 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2011 | ||||||||
| LastUpdateDate: | 03/25/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | BP10036911-549768 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.