Nadim Bin Islam
Emergency Physician Pediatric Emergency Physician
504 Medical Center Blvd
Conroe
, Texas 77304-2808
Nadim Bin Islam
Emergency Physician Pediatric Emergency Physician
504 Medical Center Blvd
Conroe
, Texas 77304-2808
(281) 784-1555
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About
Features
Specialties
- Emergency Physician
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Nadim Bin Islam
- Po Box 200993
- Houston, TX
- Zip : 77216-0993
- Fax : (281) 784-1555
- Phone : (281) 784-1111
Second Address
- Nadim Bin Islam
- 504 Medical Center Blvd
- Conroe, TX
- Zip : 77304-2808
- Fax : (409) 788-8044
- Phone : (409) 539-1111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | M0116 | TX |
| N | 207PP0204X | Pediatric Emergency Physician | M0116 | TX |
National Provider Identifier
| NPI | 1457324972 |
|---|---|
| Provider Name | Nadim Bin Islam |
| First Address | Houston, TX 77216-0993 |
| Second Address | Conroe, TX 77304-2808 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2006 |
| Last Update Date | 26/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1457324972 | TRICARE SOUTH (01) | TX |
| 177265901 | (05) | TX |
| 1772659-02 | (05) | TX |
| 177265906 | (05) | TX |
| 8P5092 | BCBSTX PROV NO (01) | TX |
| I06084 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.