Provider Demographics
NPI:1851035216
Name:TPG TEXAS PLLC
Entity type:Organization
Organization Name:TPG TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEKULEO
Authorized Official - Middle Name:
Authorized Official - Last Name:GATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-533-7354
Mailing Address - Street 1:945 MCKINNEY ST STE 19564
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-6308
Mailing Address - Country:US
Mailing Address - Phone:628-260-5154
Mailing Address - Fax:
Practice Address - Street 1:945 MCKINNEY ST STE 19564
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-6308
Practice Address - Country:US
Practice Address - Phone:628-260-5154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty