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NPI Code Detail

MEDICARE: DR. TOMMY POLK M.D.

MEDICARE: DR. TOMMY POLK M.D.
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
1207L00000XAnesthesiology PhysicianE5600TX

General Provider Information

NPI Number : 1437138708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TOMMY POLK M.D.
Provider Business Mailing Address
First Line : 714 FM 190 WEST
Second Line : SUITE 206
City : HOUSTON
State : TX
Zip : 77090
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17080 RED OAK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77090-2602
Country : US
Telephone Number : 713-851-8703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 09/19/2012

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Directions to “ DR. TOMMY POLK M.D.” Practice Location

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