MEDICARE: KARL E TOMM M D & ASSOCIATES

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	208600000X	Surgery Physician	D8620	TX

General Provider Information

NPI Number	:	1841470945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARL E TOMM M D & ASSOCIATES

Provider Business Mailing Address
First Line	:	6560 FANNIN ST STE 1846
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2736
Country	:	US
Telephone Number	:	713-797-1303
Fax Number	:	713-790-0931

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 1846
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2736
Country	:	US
Telephone Number	:	713-797-1303
Fax Number	:	713-790-0931

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CINDY SPURLING
Credential	:
Telephone Number	:	281-319-0055

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	11/07/2007

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