MEDICARE: TMC PHYSICIANS

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1912241753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMC PHYSICIANS

Provider Business Mailing Address
First Line	:	2410 ELLA BLVD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2721
Country	:	US
Telephone Number	:	713-861-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 ELLA BLVD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2721
Country	:	US
Telephone Number	:	713-861-5000
Fax Number	:	713-861-5040

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. IMRAN SIDDIQUI
Credential	:	M.D.
Telephone Number	:	254-493-0814

Provider Enumeration Date	:	11/17/2012
Last Update Date	:	05/28/2020

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Directions to “TMC PHYSICIANS ” Practice Location

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