Provider Demographics
NPI:1336785187
Name:TP-HEALTH CA PC
Entity Type:Organization
Organization Name:TP-HEALTH CA PC
Other - Org Name:MIKYLE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FAHD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-916-2677
Mailing Address - Street 1:110 S GORDON ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-2333
Mailing Address - Country:US
Mailing Address - Phone:832-916-2677
Mailing Address - Fax:832-802-6163
Practice Address - Street 1:201 E CENTER ST STE 112
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-7212
Practice Address - Country:US
Practice Address - Phone:832-916-2677
Practice Address - Fax:832-802-6163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty