MEDICARE: CARELON MEDICAL PARTNERS OF TEXAS PA

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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	394300	OTHER	TX	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508267535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARELON MEDICAL PARTNERS OF TEXAS PA

Provider Business Mailing Address
First Line	:	12900 PARK PLAZA DR STE 150
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-9329
Country	:	US
Telephone Number	:	657-309-1619
Fax Number	:	888-494-2588

Provider Business Practice Location Address
First Line	:	5444 WESTHEIMER RD STE 1000
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5318
Country	:	US
Telephone Number	:	512-765-7092
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TIMOTHY ALBION
Credential	:	MD
Telephone Number	:	657-309-1619

Provider Enumeration Date	:	09/09/2014
Last Update Date	:	04/23/2024

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Directions to “CARELON MEDICAL PARTNERS OF TEXAS PA ” Practice Location

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