MEDICARE: TESTOTHERA

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	207QA0505X	Adult Medicine Physician

General Provider Information

NPI Number	:	1306540299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TESTOTHERA

Provider Business Mailing Address
First Line	:	9722 GASTON RD STE 150-360
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7941
Country	:	US
Telephone Number	:	346-202-6670
Fax Number	:

Provider Business Practice Location Address
First Line	:	6445 FM 1463 RD STE 140
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-4028
Country	:	US
Telephone Number	:	346-202-6671
Fax Number	:	346-202-6676

Authorized Official
Title or Position	:	MANAGER
Name	:	MUNIB JAMIL
Credential	:
Telephone Number	:	346-202-6670

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	07/12/2025

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Directions to “TESTOTHERA ” Practice Location

Language	Start Address	Practice Location

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