MEDICARE: SINGH SURGERY MD 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
1	208600000X	Surgery Physician	K5695	TX

General Provider Information

NPI Number	:	1568845055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINGH SURGERY MD PA

Provider Business Mailing Address
First Line	:	21175 TOMBALL PKWY
Second Line	:	#297
City	:	HOUSTON
State	:	TX
Zip	:	77070-1655
Country	:	US
Telephone Number	:	281-290-6300
Fax Number	:	281-290-6302

Provider Business Practice Location Address
First Line	:	21175 TOMBALL PKWY
Second Line	:	#297
City	:	HOUSTON
State	:	TX
Zip	:	77070-1655
Country	:	US
Telephone Number	:	281-290-6300
Fax Number	:	281-290-6302

Authorized Official
Title or Position	:	PROVIDER
Name	:	HARVINDERPAL SINGH
Credential	:	M.D.
Telephone Number	:	281-290-6300

Provider Enumeration Date	:	07/02/2015
Last Update Date	:	07/28/2015

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