MEDICARE: HYPERBARIC PHYSICIANS OF TEXAS

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	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician

General Provider Information

NPI Number	:	1801667993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYPERBARIC PHYSICIANS OF TEXAS

Provider Business Mailing Address
First Line	:	18525 W LAKE HOUSTON PKWY STE 104
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-3446
Country	:	US
Telephone Number	:	281-713-6543
Fax Number	:	936-233-8298

Provider Business Practice Location Address
First Line	:	18525 W LAKE HOUSTON PKWY STE 104
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-3446
Country	:	US
Telephone Number	:	281-713-6543
Fax Number	:	936-233-8298

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	BRAD COPUS
Credential	:
Telephone Number	:	832-364-3750

Provider Enumeration Date	:	01/09/2024
Last Update Date	:	01/09/2024

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Directions to “HYPERBARIC PHYSICIANS OF TEXAS ” Practice Location

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