Provider Demographics
NPI:1134442320
Name:TRUMEN PHYSICIANS AND ASSOCIATES PLLC
Entity type:Organization
Organization Name:TRUMEN PHYSICIANS AND ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:TRUMBLE
Authorized Official - Suffix:II
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:281-734-9268
Mailing Address - Street 1:PO BOX 650998
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0998
Mailing Address - Country:US
Mailing Address - Phone:713-796-9955
Mailing Address - Fax:713-796-9779
Practice Address - Street 1:2626 S LOOP W STE 265
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-5636
Practice Address - Country:US
Practice Address - Phone:713-242-7707
Practice Address - Fax:713-796-9779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX213884401Medicaid
TX0092TSOtherBCBS
TXDQ5252OtherRR MCR
TXDQ5252OtherRR MCR