Provider Demographics
NPI: | 1568845055 |
---|---|
Name: | SINGH SURGERY MD PA |
Entity type: | Organization |
Organization Name: | SINGH SURGERY MD PA |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PROVIDER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | HARVINDERPAL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SINGH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 281-290-6300 |
Mailing Address - Street 1: | 21175 TOMBALL PKWY |
Mailing Address - Street 2: | #297 |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77070-1655 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 281-290-6300 |
Mailing Address - Fax: | 281-290-6302 |
Practice Address - Street 1: | 21175 TOMBALL PKWY |
Practice Address - Street 2: | #297 |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77070-1655 |
Practice Address - Country: | US |
Practice Address - Phone: | 281-290-6300 |
Practice Address - Fax: | 281-290-6302 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-07-02 |
Last Update Date: | 2015-07-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | K5695 | 208600000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Single Specialty |