Organization · NPI-2
Texas Managerial Medical Services, LLC
Family Medicine · Jersey Village, TX
NPI number1144653171
StatusActive
Last updated in NPPESAug 13, 2013
Details
- NPI
- 1144653171
- Entity type
- Organization (NPI-2)
- Legal business name
- Texas Managerial Medical Services, LLC
- Organization subpart
- No
- Enumeration date
- Aug 13, 2013
- Last updated
- Aug 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – |
Other names
- Tmms (Other Name)
Practice location
20320 Northwest FwySuite 900
Jersey Village, TX 77065-5641
Phone 281-586-3888 · Fax 281-440-2020
Mailing address
20320 Northwest FwySuite 900
Jersey Village, TX 77065-5641
Phone 281-586-3888 · Fax 281-440-2020
Authorized official
Ana Borja
Credentialing Department
2814537224
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