Provider Demographics
NPI:1669285060
Name:TUBEROSE HEALTH PLLC
Entity type:Organization
Organization Name:TUBEROSE HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FERAS
Authorized Official - Middle Name:ABDULHAMID
Authorized Official - Last Name:SAWAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-313-6971
Mailing Address - Street 1:2725 DEANSBROOK DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3020
Mailing Address - Country:US
Mailing Address - Phone:216-313-6971
Mailing Address - Fax:762-212-4315
Practice Address - Street 1:4215 JOE RAMSEY BLVD E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-7852
Practice Address - Country:US
Practice Address - Phone:903-408-1740
Practice Address - Fax:903-408-1749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1477796761OtherNPI