Organization
SOUTHWEST EAR, NOSE & THROAT INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMANG KHETARPAL MD (OWNER)
(832) 990-2700
Entity
Organization
Contact information
Practice address
1011 MEDICAL PLAZA DR STE 100, THE WOODLANDS, TX 77380-3248
(832) 990-2700
(832) 789-9400
Mailing address
1011 MEDICAL PLAZA DR STE 100, THE WOODLANDS, TX 77380-3248
(832) 990-2700
(832) 789-9400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L0330
TX
207Y00000X
Otolaryngology Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091EM
BC/BS
TX
05
—
081309901
—
TX
01
—
CH3849
MEDICARE RAILROAD
TX
Enumeration date
04/16/2007
Last updated
02/05/2024
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