Provider Demographics
NPI:1932501889
Name:TRAUMA AND GENERAL SURGEONS PLLC
Entity Type:Organization
Organization Name:TRAUMA AND GENERAL SURGEONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOANG
Authorized Official - Middle Name:Q
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-616-6017
Mailing Address - Street 1:PO BOX 58534
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8534
Mailing Address - Country:US
Mailing Address - Phone:281-616-6017
Mailing Address - Fax:281-947-3037
Practice Address - Street 1:350 N TEXAS AVE
Practice Address - Street 2:SUITE A-2
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4959
Practice Address - Country:US
Practice Address - Phone:281-616-6017
Practice Address - Fax:281-947-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2086S0127X
TXAP125135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1437191640Medicare NSC
TX1780813295Medicare NSC
TX1073693495Medicare NSC
TX1932298304Medicare NSC