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NPI Code Detail

MEDICARE: TMH PHYSICIAN ORGANIZATION

MEDICARE: TMH PHYSICIAN ORGANIZATION
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
1208200000XPlastic Surgery Physician
22086S0122XPlastic and Reconstructive Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10095MSOTHERTXBCBS GROUP NUMBER

General Provider Information

NPI Number : 1285684431
Entity Type Code : Organization
Provider Name (Legal Business Name) : TMH PHYSICIAN ORGANIZATION
Provider Business Mailing Address
First Line : 6565 FANNIN ST
Second Line : D200
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 713-790-2221
Fax Number : 713-790-2605
Provider Business Practice Location Address
First Line : 6565 FANNIN ST
Second Line : D200
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 713-790-2221
Fax Number : 713-790-2605
Authorized Official
Title or Position : PRESIDENT & CEO
Name : DR. H. DIRK SOSTMAN
Credential : M.D.
Telephone Number : 713-790-2221
Provider Enumeration Date : 05/10/2006
Last Update Date : 03/30/2010

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Directions to “TMH PHYSICIAN ORGANIZATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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