NPI Code Details Logo

NPI 1487575569

NPI 1487575569 : LTA PHYSICIANS GROUP : MANOR, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1487575569
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LTA PHYSICIANS GROUP 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/23/2026
-----------------------------------------------------
    Last Update Date     |    07/23/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    12838 US 290 
-----------------------------------------------------
    City                 |    MANOR
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78653
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    737-321-0896
-----------------------------------------------------
    Fax                  |    737-321-0912
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    12838 US 290 
-----------------------------------------------------
    City                 |    MANOR
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78653
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    737-321-0896
-----------------------------------------------------
    Fax                  |    737-321-0912
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MR. HARBIR  SINGH 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    610-750-2699
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.