MEDICARE: TMH PHYSICIAN ASSOCIATES PLLC

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	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	741660214	TX
2	261QP2000X	Physical Therapy Clinic/Center	6056200	TX
3	261Q00000X	Clinic/Center	74-1660214	TX
4	261QR0200X	Radiology Clinic/Center	R07454	TX
5	332B00000X	Durable Medical Equipment & Medical Supplies	741660214	TX
6	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	74-1660214	TX
7	207X00000X	Orthopaedic Surgery Physician	741660214	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0147840001	OTHER	TX	MEDICARE DME PROVIDER #
5	CS2401	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	741660214	OTHER	NY	NEW YORK W/COMP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	741660214-00	OTHER	OH	OHIO BWC
6	235794400	OTHER	TX	USDOL PROVIDER #

General Provider Information

NPI Number	:	1215955927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMH PHYSICIAN ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	7550 GREENBRIAR DR STE RB6-230
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4508
Country	:	US
Telephone Number	:	713-363-8584
Fax Number	:

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST STE 2600
Second Line	:	SUITE 2600
City	:	HOUSTON
State	:	TX
Zip	:	77030-2750
Country	:	US
Telephone Number	:	713-790-1818
Fax Number	:

Authorized Official
Title or Position	:	VP OF REVENUE CYCLE OPERATIONS
Name	:	AMY PREMETZ
Credential	:
Telephone Number	:	713-441-6055

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	05/28/2024

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