Healthcare Provider Details

I. General information

NPI: 1033657002
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: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 WEST LOOP S STE 100
HOUSTON TX
77081
US

IV. Provider business mailing address

7550 GREENBRIAR DR STE 6-230
HOUSTON TX
77030-4508
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-3560
  • Fax:
Mailing address:
  • Phone: 713-363-8584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: AMY PREMETZ
Title or Position: VP OF REVENUE CYCLE OPERATIONS
Credential:
Phone: 713-441-4734