Organization
TMH PHYSICIAN ORGANIZATION
Active
Other names
TMHPO ICU Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY DIRK SOSTMAN (AUTHORIZED OFFICIAL)
(713) 790-3530
Entity
Organization
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 790-3530
Mailing address
PO BOX 4578, HOUSTON, TX 77210-4578
(800) 655-2656
(412) 822-7411
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
07/10/2006
Last updated
08/15/2007
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