Provider Demographics
NPI:1083375240
Name:TEXAS UNITED PHYSICIAN SERVICES
Entity Type:Organization
Organization Name:TEXAS UNITED PHYSICIAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUAJRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-597-0032
Mailing Address - Street 1:6363 PINTAIL LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-2290
Mailing Address - Country:US
Mailing Address - Phone:310-597-0032
Mailing Address - Fax:469-301-2420
Practice Address - Street 1:4100 MAPLESHADE LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-0012
Practice Address - Country:US
Practice Address - Phone:310-597-0032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty