Basic Information
Provider Information
NPI: 1831473081
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARVIZI
FirstName: GOLNAR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4545 POST OAK PLACE DR
Address2: STE 130
City: HOUSTON
State: TX
PostalCode: 770273133
CountryCode: US
TelephoneNumber: 7139608008
FaxNumber: 8325532941
Practice Location
Address1: 4545 POST OAK PLACE DR
Address2: STE 130
City: HOUSTON
State: TX
PostalCode: 770273133
CountryCode: US
TelephoneNumber: 7139608008
FaxNumber: 8325532941
Other Information
ProviderEnumerationDate: 10/06/2011
LastUpdateDate: 02/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XQ8596TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XR72971AZN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XA133864CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XQ8596TXY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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