NPI 1114798782
Theory Health Medical PA
Practice location
- Address
- 135 Oyster Creek Dr STE E, Lake Jackson, TX 77566-4119
- Phone
- (979) 266-9401
Authorised official
- Name
- Jeevan C Gowda
- Title
- Physican
- Phone
- (313) 980-2199
Registered specialties
Internal Medicine Physician
Primary
Registry record
- NPI
- 1114798782
- Entity type
- Organization
- NPI issued
- 12 Jan 2024
- Record last updated
- 18 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.