Provider Demographics
NPI:1164646428
Name:HOPE LYMPHEDEMA TREATMENT CENTER, PLLC
Entity Type:Organization
Organization Name:HOPE LYMPHEDEMA TREATMENT CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SWEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-242-5807
Mailing Address - Street 1:9914 HIGHWAY 90A
Mailing Address - Street 2:SUITE A
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3126
Mailing Address - Country:US
Mailing Address - Phone:281-242-5807
Mailing Address - Fax:281-242-5810
Practice Address - Street 1:9914 HIGHWAY 90A
Practice Address - Street 2:SUITE A
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3126
Practice Address - Country:US
Practice Address - Phone:281-242-5807
Practice Address - Fax:281-242-5810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7392225100000X, 261QP2000X
TX0075320332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherOUTPATIENT FACILITY