Provider Demographics
NPI:1114058575
Name:TWO HOUSTON NEONATAL PERINATAL PHYSICIANS
Entity Type:Organization
Organization Name:TWO HOUSTON NEONATAL PERINATAL PHYSICIANS
Other - Org Name:HOUSTON NEONATAL PERINATAL PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:PADGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-661-2701
Mailing Address - Street 1:5959 WEST LOOP S # 260
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2421
Mailing Address - Country:US
Mailing Address - Phone:713-661-2701
Mailing Address - Fax:713-661-3197
Practice Address - Street 1:5959 WEST LOOP S # 260
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2421
Practice Address - Country:US
Practice Address - Phone:713-661-2701
Practice Address - Fax:713-661-3197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0025JKOtherBCBS GROUP #