Organization
INTERNIST CHRONIC CARE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THIMOS PASCHALIS MD (PHYSICIAN)
(281) 836-3577
Entity
Organization
Contact information
Practice address
110 N CONCORD FOREST CIR, THE WOODLANDS, TX 77381-6600
(281) 836-3577
(801) 883-8044
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 924-8571
(801) 883-8044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
05/31/2019
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