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Organization
THEORY HEALTH MEDICAL PA
Active
Organization
THEORY HEALTH MEDICAL PA
Active
Other names
Theory Health Medical PA
Organization subpart
No
Provider details
NPI number
Authorized official
JEEVAN C GOWDA MD (PHYSICAN)
(313) 980-2199
Entity
Organization
Contact information
Practice address
135 OYSTER CREEK DR STE E, LAKE JACKSON, TX 77566-4119
(979) 266-9401
Mailing address
135 OYSTER CREEK DR STE E, LAKE JACKSON, TX 77566-4119
(979) 266-9401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881862027
—
TX
Enumeration date
01/12/2024
Last updated
01/18/2024
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