Basic Information
| Provider Information | |||||||||
| NPI: | 1407414691 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TMH PHYSICIAN ASSOCIATES PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6550 FANNIN ST STE 447 | ||||||||
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| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302718 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134410633 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1677 W BAKER RD STE 1701 | ||||||||
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| City: | BAYTOWN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775212422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814277400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2019 | ||||||||
| LastUpdateDate: | 06/03/2019 | ||||||||
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| AuthorizedOfficialLastName: | CARR | ||||||||
| AuthorizedOfficialFirstName: | JEFFREY | ||||||||
| AuthorizedOfficialMiddleName: | THOMAS | ||||||||
| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7134411058 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | TMH PHYSICIAN ASSOCIATES PLLC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.