Provider Demographics
NPI:1326323791
Name:TMH PHYSICIAN ASSOCIATES PLLC
Entity Type:Organization
Organization Name:TMH PHYSICIAN ASSOCIATES PLLC
Other - Org Name:TMHPO ORTHOPEDICS DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-441-0633
Mailing Address - Street 1:915 GESSNER RD STE 560
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2572
Mailing Address - Country:US
Mailing Address - Phone:713-353-5770
Mailing Address - Fax:
Practice Address - Street 1:915 GESSNER, PRO. 3
Practice Address - Street 2:SUITE 560
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-353-5770
Practice Address - Fax:713-790-7500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0147840004Medicare NSC
00BA17Medicare UPIN