Provider Demographics
NPI:1144552035
Name:PATIENT MANAGEMENT ASSOCIATES, LLC
Entity type:Organization
Organization Name:PATIENT MANAGEMENT ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:PALACIOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-691-7490
Mailing Address - Street 1:PO BOX 11076
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77391-1076
Mailing Address - Country:US
Mailing Address - Phone:713-691-7490
Mailing Address - Fax:713-691-0079
Practice Address - Street 1:7333 NORTH FWY
Practice Address - Street 2:SUITE 430
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1300
Practice Address - Country:US
Practice Address - Phone:713-691-7490
Practice Address - Fax:713-691-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty