NORTHWEST COLON & RECTAL SURGERY, P.A.
Osteopathic Medicine at Peakwood Dr, Houston, TX

License number
Texas M1012
Category
Osteopathic Medicine
Type
Colon & Rectal Surgery
Owner
Name: KHAWAJA AZIMUDDIN M.D.
Title: MEDICAL DIRECTOR
Phone: (281) 583-1300
Address
Address 2
800 Peakwood Dr SUITE 4C, Houston, TX 77090
PO Box 1612, Tomball, TX 77377
National Provider ID: 1740200203
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Northwest Colon & Rectal Surgery, PA

Houston, TX

Doing business as:
Houston Colon & Rectal Surgery<br>Northwest Colon & Rectal Surgery, PA<br>Northwest General & Colo-Rectal Surgery
Registration:
May 16, 2005
Phone:
(281) 583-1300 (Phone)
Addresses:
1125 Cypress Sta Dr, Houston, TX 77090
800 Peakwood Dr, Houston, TX 77090
1125 Cypress Sta Dr Ste G3, Houston, TX 77090
State ID:
0800493528
Business type:
Professional Association
S:
Khawaja Azimuddin (President, Director, Member, Secretary),Tal Raphaeli
TIN:
32035401937

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