Provider Demographics
NPI: | 1043266299 |
---|---|
Name: | MHS PHYSICIANS OF TEXAS |
Entity type: | Organization |
Organization Name: | MHS PHYSICIANS OF TEXAS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MARIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | TRAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 713-338-5971 |
Mailing Address - Street 1: | 14023 SOUTHWEST FWY |
Mailing Address - Street 2: | |
Mailing Address - City: | SUGAR LAND |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77478-3550 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 281-325-4216 |
Mailing Address - Fax: | 281-325-4228 |
Practice Address - Street 1: | 909 FROSTWOOD DR # 2205 |
Practice Address - Street 2: | |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77024-2301 |
Practice Address - Country: | US |
Practice Address - Phone: | 713-338-5971 |
Practice Address - Fax: | 713-338-4542 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-05-26 |
Last Update Date: | 2022-09-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
103T00000X, 207L00000X, 207Q00000X, 207R00000X, 207RC0000X, 207RH0003X, 207X00000X, 2084N0400X, 2085R0204X, 208600000X, 208M00000X, 363LP0808X | ||
TX | L6765 | 2085R0202X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | Group - Multi-Specialty | |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | Group - Multi-Specialty | |
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Multi-Specialty |
No | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | Group - Multi-Specialty |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
No | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |
No | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | Group - Multi-Specialty |
No | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology | Group - Multi-Specialty |
No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 148367902 | Medicaid | |
TX | 00659N | Other | MEDICARE GROUP |
TX | 00279R | Other | MEDICARE GROUP |
TX | 000279R | Medicare ID - Type Unspecified |