Provider Demographics
NPI:1033415088
Name:TEXAS ONE HEALTH INC
Entity Type:Organization
Organization Name:TEXAS ONE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEVORG
Authorized Official - Middle Name:
Authorized Official - Last Name:JOTYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-771-1790
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:550
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:713-771-1790
Mailing Address - Fax:713-771-1791
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:550
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:713-771-1790
Practice Address - Fax:713-771-1791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN50032084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN5003OtherLICENSE