MEDICARE: THADDEUS WILLIAM HUME MD

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	207X00000X	Orthopaedic Surgery Physician	F0526	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	182088300	OTHER	TX	ACS
3	10014494	OTHER	TX	AMERIGROUP

General Provider Information

NPI Number	:	1952311474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THADDEUS WILLIAM HUME MD

Provider Business Mailing Address
First Line	:	2000 CRAWFORD ST
Second Line	:	SUITE 1510
City	:	HOUSTON
State	:	TX
Zip	:	77002
Country	:	US
Telephone Number	:	713-650-0111
Fax Number	:	713-650-1837

Provider Business Practice Location Address
First Line	:	2000 CRAWFORD ST
Second Line	:	SUITE 1510
City	:	HOUSTON
State	:	TX
Zip	:	77002
Country	:	US
Telephone Number	:	713-650-0111
Fax Number	:	713-650-1837

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	01/31/2008

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