| Tmh Physician Organization | |
|
6550 Fannin St Suite 447 Houston TX 77030-2717 | |
| (713) 441-7389 | |
| (713) 793-7012 |
| Full Name | Tmh Physician Organization |
|---|---|
| Speciality | Surgery |
| Location | 6550 Fannin St, Houston, Texas |
| Authorized Official Name and Position | Robert A Phillips (EXEC VP & CMO-HMHS,PRESCEO-HMSPG) |
| Authorized Official Contact | 7134417389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmh Physician Organization 6550 Fannin St Suite 447 Houston TX 77030-2717 Ph: (713) 441-7389 | Tmh Physician Organization 6550 Fannin St Suite 447 Houston TX 77030-2717 Ph: (713) 441-7389 |
| NPI Number | 1235183096 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/24/2015 |
| Medicare PECOS PAC ID | 4880670108 |
|---|---|
| Medicare Enrollment ID | O20040628000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235183096 | NPI | - | NPPES |
| 179960301 | Medicaid | TX | |
| 172037703 | Medicaid | TX | |
| 0095LZ | Other | TX | MAIN BCBS NUMBER |
| 207803201 | Medicaid | TX | |
| 172037701 | Medicaid | TX | |
| 330448701 | Medicaid | TX |
| Provider Name | Titus K Venyah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639130966 PECOS PAC ID: 6608864798 Enrollment ID: I20040505001682 |
| Provider Name | Khursheed Banglawala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720035546 PECOS PAC ID: 9931112521 Enrollment ID: I20060727000136 |
| Provider Name | Stephanie Frimpong Badu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467645234 PECOS PAC ID: 0749351120 Enrollment ID: I20080612000054 |
| Provider Name | John Ma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912901737 PECOS PAC ID: 9436188992 Enrollment ID: I20100715000208 |
| Provider Name | Lindsay K Botsford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780849737 PECOS PAC ID: 0143354191 Enrollment ID: I20100812001155 |
| Provider Name | Jasmin A Ignatius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790931624 PECOS PAC ID: 7416125950 Enrollment ID: I20110727000523 |
| Provider Name | Paola C Batista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336330836 PECOS PAC ID: 3375680549 Enrollment ID: I20150527001293 |
| Provider Name | Vikash Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023389327 PECOS PAC ID: 7214162395 Enrollment ID: I20150825004180 |
| Provider Name | Andrea Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992038434 PECOS PAC ID: 0749596310 Enrollment ID: I20150827000088 |
| Provider Name | Denerica Lacey Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437627791 PECOS PAC ID: 1759620875 Enrollment ID: I20191111001298 |
| Provider Name | Rekha C Avirah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306154075 PECOS PAC ID: 6103089123 Enrollment ID: I20211130001544 |
| Provider Name | Deborah M Boateng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437605045 PECOS PAC ID: 7719245067 Enrollment ID: I20220125000880 |
| Provider Name | Asma Masrat Syeda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225028186 PECOS PAC ID: 3375441850 Enrollment ID: I20240918000394 |
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