# TESTOTHERA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306540299
- **Authorized official:** MUNIB JAMIL (MANAGER)
- **Authorized official phone:** (346) 202-6670

## Contact information

- **Practice address:** 6445 FM 1463 RD STE 140, KATY, TX 77494-4028
- **Practice address phone:** (346) 202-6671
- **Practice address fax:** (346) 202-6676
- **Mailing address:** 9722 GASTON RD STE 150-360, KATY, TX 77494-7941
- **Mailing address phone:** (346) 202-6670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2023
- **Last updated:** 07/12/2025
