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NPI Code Detail

MEDICARE: UT PHYSICIANS

MEDICARE: UT PHYSICIANS
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
1208000000XPediatrics Physician
2363L00000XNurse Practitioner

General Provider Information

NPI Number : 1205955507
Entity Type Code : Organization
Provider Name (Legal Business Name) : UT PHYSICIANS
Provider Business Mailing Address
First Line : PO BOX 201088
Second Line :
City : HOUSTON
State : TX
Zip : 77216-1088
Country : US
Telephone Number : 713-500-3500
Fax Number : 713-500-5484
Provider Business Practice Location Address
First Line : 412 TELEPHONE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77023-1840
Country : US
Telephone Number : 713-926-6229
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : ANDREW R CASAS
Credential :
Telephone Number : 832-325-7317
Provider Enumeration Date : 03/28/2007
Last Update Date : 09/11/2025

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Directions to “UT PHYSICIANS ” Practice Location

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