Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | K3964 | TX |
N | 111NI0900X | Internist | K3964 | TX |
N | 207RC0200X | Critical Care Medicine | K3964 | TX |
Y | 207RP1001X | Pulmonary Disease | K3964 | TX |
N | 207RS0012X | Sleep Medicine | K3964 | TX |
NPI | 1033149810 |
---|---|
Provider Name | Ali Jafar S Al-Himyary |
First Address | Pearland, TX 77584-7298 |
Second Address | Houston, TX 77025-1669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 03/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
113292005 | (05) | TX |
113292006 | (05) | TX |
113292007 | (05) | TX |
F23218 | (02) | TX |