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General NPI Number Information
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NPI Number | 1225211386
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Entity Type | Organization
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Legal Business Name | TMH PHYSICIAN ASSOCIATES PLLC
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 17183 I H 45 S STE 210
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City | SHENANDOAH
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State | TX
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Zip | 77385-3313
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Country | US
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Telephone | 936-321-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 7550 GREENBRIAR DR STE RB6-230
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City | HOUSTON
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State | TX
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Zip | 77030-4508
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Country | US
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Telephone | 713-363-8584
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Fax |
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | AMY PREMETZ
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Credential |
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Telephone | 713-441-6055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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