Healthcare Provider Details

I. General information

NPI: 1629760095
Provider Name (Legal Business Name): TMH PHYSICIAN ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6243 FAIRMONT PKWY STE 105
PASADENA TX
77505-4046
US

IV. Provider business mailing address

7550 GREENBRIAR DR STE RB6-230
HOUSTON TX
77030-4508
US

V. Phone/Fax

Practice location:
  • Phone: 713-363-9090
  • Fax: 281-333-2490
Mailing address:
  • Phone: 713-363-8584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT A. PHILLIPS
Title or Position: EVP & CMO-THHS, PRES & CEO-TMHPO
Credential: MD, PHD, FACC
Phone: 713-441-7389