Provider Demographics
NPI:1609984616
Name:THERAPEUTIC CONCEPTS, P.A.
Entity Type:Organization
Organization Name:THERAPEUTIC CONCEPTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GATHE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:713-522-2273
Mailing Address - Street 1:4900 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5706
Mailing Address - Country:US
Mailing Address - Phone:713-522-2273
Mailing Address - Fax:713-526-0614
Practice Address - Street 1:4900 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5706
Practice Address - Country:US
Practice Address - Phone:713-522-2273
Practice Address - Fax:713-526-0614
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORGANIZATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-29
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9471261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123131803Medicaid
C16024Medicare UPIN
TX123131803Medicaid