Organization
GERIATRIC HOME CARE PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUSHA A BAVARE M.D. (PRINCIPAL PARTNER)
(281) 565-1112
Entity
Organization
Contact information
Practice address
16605 SOUTHWEST FWY, SUITE 175, SUGAR LAND, TX 77479-3501
(281) 565-1112
(281) 565-1102
Mailing address
PO BOX 17685, SUGAR LAND, TX 77496-7685
(281) 565-1112
(281) 565-1102
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
L7979
TX
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164648101
—
TX
Enumeration date
06/02/2006
Last updated
02/12/2020
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