Provider Demographics
NPI:1326398959
Name:PLATINUM GERIATRICS ASSOCIATES P A
Entity Type:Organization
Organization Name:PLATINUM GERIATRICS ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:CALAPANO
Authorized Official - Last Name:CAPOCYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-202-6600
Mailing Address - Street 1:714 MOSS HAMMOCK WAY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4326
Mailing Address - Country:US
Mailing Address - Phone:832-202-6600
Mailing Address - Fax:
Practice Address - Street 1:15200 SOUTHWEST FWY STE 200
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3863
Practice Address - Country:US
Practice Address - Phone:281-201-8463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-11
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty