Healthcare Provider Details

I. General information

NPI: 1720141971
Provider Name (Legal Business Name): TMH PHYSICIAN ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 09/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 FANNIN ST SUITE 1601
HOUSTON TX
77030-2717
US

IV. Provider business mailing address

6550 FANNIN ST SUITE 1601
HOUSTON TX
77030-2717
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-6172
  • Fax:
Mailing address:
  • Phone: 713-441-6172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberM9556
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberMD427279
License Number StatePA

VIII. Authorized Official

Name: DR. TIMOTHY EDWARD OPPERMANN
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 281-275-0860