Provider Demographics
NPI:1033509948
Name:CONCIERGE PHYSICIAN ASSOCIATES PA
Entity Type:Organization
Organization Name:CONCIERGE PHYSICIAN ASSOCIATES PA
Other - Org Name:OPES HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:X
Authorized Official - Last Name:THAMPOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-321-4962
Mailing Address - Street 1:21238 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5898
Mailing Address - Country:US
Mailing Address - Phone:832-321-4962
Mailing Address - Fax:281-944-9602
Practice Address - Street 1:21238 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:832-321-4962
Practice Address - Fax:281-944-9602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty