Basic Information
| Provider Information | |||||||||
| NPI: | 1811527559 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EFG SURGEONS, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 691126 | ||||||||
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| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 772691126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2816536544 | ||||||||
| FaxNumber: | 2818079702 | ||||||||
| Practice Location | |||||||||
| Address1: | 13323 DOTSON RD STE 210 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770704538 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2816536544 | ||||||||
| FaxNumber: | 2818079702 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2020 | ||||||||
| LastUpdateDate: | 01/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | WADIWALA | ||||||||
| AuthorizedOfficialFirstName: | IRFRAN | ||||||||
| AuthorizedOfficialMiddleName: | I | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 2816536544 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 01/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.