MEDICARE: DR. TARSEM S DHESI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	F6575	TX

General Provider Information

NPI Number	:	1164499802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARSEM S DHESI MD

Provider Business Mailing Address
First Line	:	7440 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5804
Country	:	US
Telephone Number	:	281-955-7777
Fax Number	:	281-955-5905

Provider Business Practice Location Address
First Line	:	7440 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5804
Country	:	US
Telephone Number	:	281-955-7777
Fax Number	:	281-955-5905

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	08/11/2011

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