Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | F1178 | TX |
NPI | 1033170162 |
---|---|
Provider Name | Dr. Ahmad R Pacha |
First Address | Houston, TX 77090-2503 |
Second Address | Houston, TX 77090-2503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 15/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
034710601 | (05) | TX |
C20115 | (02) | TX |