Provider Demographics
NPI:1265673313
Name:TEXAS INPATIENT CONSULTANTS,LLLP
Entity Type:Organization
Organization Name:TEXAS INPATIENT CONSULTANTS,LLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:SRESHTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-265-0409
Mailing Address - Street 1:16701 CREEK BEND DR # 500
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3395
Mailing Address - Country:US
Mailing Address - Phone:281-265-0409
Mailing Address - Fax:281-265-0402
Practice Address - Street 1:16701 CREEK BEND DR STE 500
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3395
Practice Address - Country:US
Practice Address - Phone:281-265-0402
Practice Address - Fax:281-265-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0617207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty