Healthcare Provider Details
I. General information
NPI: 1982142964
Provider Name (Legal Business Name): TMH PHYSICIAN ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2017
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4015 I 45 N SUITE 110
CONROE TX
77304-5074
US
IV. Provider business mailing address
7550 GREENBRIAR DR STE RB6-230
HOUSTON TX
77030-4508
US
V. Phone/Fax
- Phone: 281-737-2630
- Fax:
- Phone: 137-363-8584
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
A
PHILLIPS
Title or Position: CEO
Credential: M.D.
Phone: 713-441-0633