MEDICARE: TITAN MEN'S HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center
2	207QA0505X	Adult Medicine Physician

General Provider Information

NPI Number	:	1053726141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TITAN MEN'S HEALTH

Provider Business Mailing Address
First Line	:	830 GEMINI ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2702
Country	:	US
Telephone Number	:	281-488-3575
Fax Number	:	281-488-3572

Provider Business Practice Location Address
First Line	:	2785 GULF FWY S
Second Line	:	SUITE 115
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-4979
Country	:	US
Telephone Number	:	832-409-1408
Fax Number	:	832-738-1176

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	JAMES PAUL CAPLAN
Credential	:	MD
Telephone Number	:	713-444-8960

Provider Enumeration Date	:	06/26/2014
Last Update Date	:	03/26/2024

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Directions to “TITAN MEN'S HEALTH ” Practice Location

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