Provider Demographics
NPI:1114390176
Name:HOUSTON COMPREHENSIVE RHEUMATOLOGY
Entity Type:Organization
Organization Name:HOUSTON COMPREHENSIVE RHEUMATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BAO
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-279-2631
Mailing Address - Street 1:9717 JONES RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4303
Mailing Address - Country:US
Mailing Address - Phone:832-688-9463
Mailing Address - Fax:832-688-9186
Practice Address - Street 1:11240 FM 1960 RD W
Practice Address - Street 2:STE 401
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3662
Practice Address - Country:US
Practice Address - Phone:832-688-9463
Practice Address - Fax:832-688-9186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207RR0500X, 363A00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty