Provider Demographics
NPI:1447735287
Name:TOWNSEN PHYSICIAN ALLIANCE, INC.
Entity Type:Organization
Organization Name:TOWNSEN PHYSICIAN ALLIANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-302-5294
Mailing Address - Street 1:1485 FM 1960 BYPASS RD E STE 100
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3965
Mailing Address - Country:US
Mailing Address - Phone:281-392-9001
Mailing Address - Fax:866-499-1008
Practice Address - Street 1:1485 FM 1960 BYPASS RD E STE 100
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3965
Practice Address - Country:US
Practice Address - Phone:281-392-9001
Practice Address - Fax:866-499-1008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHEAST MEDICAL VENTURES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty