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Organization
PHYSICIANS GROUP OF THE WOODLANDS
Active
Organization
PHYSICIANS GROUP OF THE WOODLANDS
Active
Parent organization
PRIVIA MEDICAL GROUP GULF COAST, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIVIA MEDICAL GROUP GULF COAST, PLLC
Authorized official
THIMOS G PASCHALIS MD (PRESIDENT)
(281) 296-8500
Entity
Organization
Contact information
Practice address
134 VISION PARK BLVD STE 300, SHENANDOAH, TX 77384-3032
(281) 296-8500
(281) 296-8591
Mailing address
134 VISION PARK BLVD STE 300, SHENANDOAH, TX 77384-3032
(281) 296-8500
(281) 296-8591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
09/09/2022
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