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NPI Code Detail

MEDICARE: TEJAS MEDICAL ASSOCIATES PA

MEDICARE: TEJAS MEDICAL ASSOCIATES PA
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
1261Q00000XClinic/CenterI24293TX
2261Q00000XClinic/CenterG1184TX
3261Q00000XClinic/CenterH1182TX

General Provider Information

NPI Number : 1447456389
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEJAS MEDICAL ASSOCIATES PA
Provider Business Mailing Address
First Line : 6510 HILLCROFT ST
Second Line : SUITE 200
City : HOUSTON
State : TX
Zip : 77081-4702
Country : US
Telephone Number : 713-988-6677
Fax Number : 713-988-0123
Provider Business Practice Location Address
First Line : 6510 HILLCROFT ST
Second Line : SUITE 200
City : HOUSTON
State : TX
Zip : 77081-4702
Country : US
Telephone Number : 713-988-6677
Fax Number : 713-988-0123
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. CIRO J PORRAS
Credential : M.D.
Telephone Number : 713-988-6677
Provider Enumeration Date : 06/26/2007
Last Update Date : 07/11/2007

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Directions to “TEJAS MEDICAL ASSOCIATES PA ” Practice Location

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