MEDICARE: TK EMERGENCY PHYSICIANS GROUP PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207L00000X	Anesthesiology Physician
2	207LP2900X	Pain Medicine (Anesthesiology) Physician
3	367H00000X	Anesthesiologist Assistant
4	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1942728019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TK EMERGENCY PHYSICIANS GROUP PLLC

Provider Business Mailing Address
First Line	:	1535 WEST LOOP S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-9512
Country	:	US
Telephone Number	:	832-219-3833
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 WEST LOOP S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-9512
Country	:	US
Telephone Number	:	832-219-3833
Fax Number	:

Authorized Official
Title or Position	:	VP, REVENUE CYCLE
Name	:	DARLEEN CALLAHAN
Credential	:	MPH
Telephone Number	:	607-437-7902

Provider Enumeration Date	:	09/08/2017
Last Update Date	:	01/14/2026

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