| Theory Health Medical Pa | |
|
135 Oyster Creek Dr Ste E Lake Jackson TX 77566-4119 | |
| (979) 266-9401 | |
| Not Available |
| Full Name | Theory Health Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 135 Oyster Creek Dr Ste E, Lake Jackson, Texas |
| Authorized Official Name and Position | Jeevan C Gowda (PHYSICAN) |
| Authorized Official Contact | 3139802199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theory Health Medical Pa 135 Oyster Creek Dr Ste E Lake Jackson TX 77566-4119 Ph: (979) 266-9401 | Theory Health Medical Pa 135 Oyster Creek Dr Ste E Lake Jackson TX 77566-4119 Ph: (979) 266-9401 |
| NPI Number | 1114798782 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114798782 | NPI | - | NPPES |
| 1881862027 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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