Organization Name: | TEXAS MEDICAL PHYSICIANS |
NPI Number: | 1174873970 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AUSTIN ORETTE (MEDICAL DIRECTOR) |
Mailing Address: | 6910 Chetwood Dr B Houston |
State: | TX US |
Postal Code: | 770815612 |
Phone Number: | 2819620777 |
Fax Number: | 2819745972 |
NPI Enumeration Date: | 09/19/2012 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | K0150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |