Basic Information
| Provider Information | |||||||||
| NPI: | 1558605170 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TEXAS SURGMED HOSPITALIST AND ER GROUP PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25440 I 45 N | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | SPRING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77386 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814191599 | ||||||||
| FaxNumber: | 2814195885 | ||||||||
| Practice Location | |||||||||
| Address1: | 25440 I 45 N | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | SPRING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77386 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814191599 | ||||||||
| FaxNumber: | 2814195885 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2012 | ||||||||
| LastUpdateDate: | 11/20/2012 | ||||||||
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| AuthorizedOfficialLastName: | MCFARLAND | ||||||||
| AuthorizedOfficialFirstName: | JUDY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 2814191599 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine | 208M00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.