MEDICARE: TOP CARE PHYSICIAN GROUP PLLC

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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician

General Provider Information

NPI Number	:	1932974664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP CARE PHYSICIAN GROUP PLLC

Provider Business Mailing Address
First Line	:	1324 N SHEPHERD DR STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-3096
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1324 N SHEPHERD DR STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-3096
Country	:	US
Telephone Number	:	832-232-0500
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	HUMAIRA QURESHI
Credential	:
Telephone Number	:	281-712-8033

Provider Enumeration Date	:	11/22/2023
Last Update Date	:	11/22/2023

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