Provider Demographics
NPI:1215121405
Name:TEXAS PHYSICIAN PA
Entity type:Organization
Organization Name:TEXAS PHYSICIAN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:GURDEEP
Authorized Official - Middle Name:S
Authorized Official - Last Name:SETHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-580-1166
Mailing Address - Street 1:3845 FM 1960 RD W
Mailing Address - Street 2:STE 340
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3531
Mailing Address - Country:US
Mailing Address - Phone:281-580-1166
Mailing Address - Fax:281-580-0086
Practice Address - Street 1:3845 FM 1960 RD W
Practice Address - Street 2:STE 340
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3531
Practice Address - Country:US
Practice Address - Phone:281-580-1166
Practice Address - Fax:281-580-0086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty