<Unavail>

LBN: Bird Dog Pharma, Llc
<Unavail> is an health care organization with primary practice located at 12242 Queenston Blvd Ste E , Houston TX 77095-5353. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Laboratories / Physiological Laboratory. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Bird Dog Pharma, Llc can be contacted via phone (713) 252-3579, or through Gilbert, Johnny via phone (713) 252-3579.

Contact Information

Primary practice address
12242 Queenston Blvd Ste E Houston TX 77095-5353
Phone: (713) 252-3579
Fax: (800) 434-7514
Website:
Map and Directions
Authorized official contact:
Name: Gilbert, Johnny
Phone: (713) 252-3579

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1124488085
LBN Legal business name Bird Dog Pharma, Llc
DBA Doing business as <Unavail>
Authorized official Gilbert, Johnny
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2016
Last updated Dec 11th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124488085 NPPES
Texas MEDICAID 367518303
Texas MEDICAID 367518301

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