Basic Information
| Provider Information | |||||||||
| NPI: | 1770931743 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TSP HEALTH CARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 73142 | ||||||||
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| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 772733142 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8323818299 | ||||||||
| FaxNumber: | 2816054563 | ||||||||
| Practice Location | |||||||||
| Address1: | 17400 RED OAK DR | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770901246 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9367142232 | ||||||||
| FaxNumber: | 2816054563 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2016 | ||||||||
| LastUpdateDate: | 07/06/2020 | ||||||||
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| AuthorizedOfficialLastName: | KARLAPUDI | ||||||||
| AuthorizedOfficialFirstName: | SURYAPRAKASH | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7135598688 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 07/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.