MEDICARE: TEXAS MEDICAL PHYSICIANS, LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1760032999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS MEDICAL PHYSICIANS, LLC

Provider Business Mailing Address
First Line	:	3800 N SHEPHERD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-6400
Country	:	US
Telephone Number	:	281-766-8916
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 N SHEPHERD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-6400
Country	:	US
Telephone Number	:	281-766-8916
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	FOYEKE IKYAATOR
Credential	:	MD
Telephone Number	:	281-766-8916

Provider Enumeration Date	:	09/19/2019
Last Update Date	:	09/19/2019

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