MEDICARE: TEXAS REGIONAL HEALTH PROVIDERS

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1366957748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS REGIONAL HEALTH PROVIDERS

Provider Business Mailing Address
First Line	:	9798 BELLAIRE BLVD STE K
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3428
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9798 BELLAIRE BLVD STE K
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3428
Country	:	US
Telephone Number	:	281-208-7335
Fax Number	:	281-208-7353

Authorized Official
Title or Position	:	OWNER
Name	:	JEREMY W SZETO
Credential	:	MD
Telephone Number	:	832-423-2629

Provider Enumeration Date	:	12/07/2017
Last Update Date	:	12/07/2017

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Directions to “TEXAS REGIONAL HEALTH PROVIDERS ” Practice Location

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