Provider Demographics
NPI:1215955927
Name:TMH PHYSICIAN ASSOCIATES PLLC
Entity type:Organization
Organization Name:TMH PHYSICIAN ASSOCIATES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF REVENUE CYCLE OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PREMETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-441-6055
Mailing Address - Street 1:7550 GREENBRIAR DR STE RB6-230
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4508
Mailing Address - Country:US
Mailing Address - Phone:713-363-8584
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST STE 2600
Practice Address - Street 2:SUITE 2600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2750
Practice Address - Country:US
Practice Address - Phone:713-790-1818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX741660214207X00000X, 261QM1200X, 332B00000X
TX74-1660214207XX0005X, 261Q00000X
TX6056200261QP2000X
TXR07454261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)Group - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0147840001OtherMEDICARE DME PROVIDER #
NY741660214OtherNEW YORK W/COMP
TX081745402Medicaid
OH741660214-00OtherOHIO BWC
TXCS2401OtherMEDICARE RAILROAD
TX235794400OtherUSDOL PROVIDER #
TX0147840001OtherMEDICARE DME PROVIDER #
NY741660214OtherNEW YORK W/COMP