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Organization

ALTUS EXCEPTIONAL PHYSICIAN GROUP PLLC

Active
Parent organization
TK EMERGENCY PHYSICIANS GROUP PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
TK EMERGENCY PHYSICIANS GROUP PLLC
Authorized official
GALE JOHNSON (VP REVENUE CYCLE)
(832) 219-3807
Entity
Organization

Contact information

Practice address
1321 N 16TH ST, ORANGE, TX 77630-3609
(409) 403-3309
Mailing address
1535 WEST LOOP S, HOUSTON, TX 77027-9512

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
07/20/2023
Last updated
07/21/2023
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