MEDICARE: TOWNSEN PHYSICIAN GROUP, INC.

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	207X00000X	Orthopaedic Surgery Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1346078276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWNSEN PHYSICIAN GROUP, INC.

Provider Business Mailing Address
First Line	:	6002 ROGERDALE RD STE 175
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-1662
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6002 ROGERDALE RD STE 175
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-1662
Country	:	US
Telephone Number	:	281-369-9001
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE
Name	:	KAYLA HO
Credential	:
Telephone Number	:	832-919-1789

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	07/23/2024

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