Provider Demographics
NPI:1093909442
Name:TMMI FOR GERIATRICS
Entity Type:Organization
Organization Name:TMMI FOR GERIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUEGBUSY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-357-8664
Mailing Address - Street 1:PO BOX 740303
Mailing Address - Street 2:5830 FARWELL DR
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274
Mailing Address - Country:US
Mailing Address - Phone:713-357-8664
Mailing Address - Fax:713-728-8477
Practice Address - Street 1:5830 FARWELL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035
Practice Address - Country:US
Practice Address - Phone:713-357-8664
Practice Address - Fax:713-728-8477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101419282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital