=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336785187
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TP-HEALTH CA PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/26/2019
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 E CENTER ST STE 112
-----------------------------------------------------
City | ANAHEIM
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92805-7212
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-916-2677
-----------------------------------------------------
Fax | 832-802-6163
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4810 RIVERSTONE BLVD STE 100
-----------------------------------------------------
City | MISSOURI CITY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77459-4092
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-916-2677
-----------------------------------------------------
Fax | 832-802-6163
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. FAHD RAWRA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 832-916-2677
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------