Basic Information
Provider Information
NPI: 1841389897
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEGUM
FirstName: AFROZA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11840 FM 1960 WEST
Address2:  
City: HOUSTON
State: TX
PostalCode: 77065
CountryCode: US
TelephoneNumber: 8329127044
FaxNumber: 8329127033
Practice Location
Address1: 27721 STATE HIGHWAY 249
Address2: SUITE 100
City: TOMBALL
State: TX
PostalCode: 773756411
CountryCode: US
TelephoneNumber: 2813575115
FaxNumber: 2815169466
Other Information
ProviderEnumerationDate: 10/11/2006
LastUpdateDate: 02/27/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XL3575TXY Allopathic & Osteopathic PhysiciansPediatrics 

ID Information
IDTypeStateIssuerDescription
134624730101TXNPIOTHER
108375205901 GROUP NPIOTHER
144737212301 GROUP TX HEALTH STEP NPIOTHER
00J21A01TXGROUP MEDICARE NUMBEROTHER
19447120105TX MEDICAID


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