Provider Demographics
NPI:1164772216
Name:METHODIST WEST HOUSTON HOSPITAL
Entity Type:Organization
Organization Name:METHODIST WEST HOUSTON HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PULMONARY AND CRITICAL CARE
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:713-562-5845
Mailing Address - Street 1:18500 KATY FREE WAY
Mailing Address - Street 2:ICU, METHODIST WEST HOUSTON HOSPITAL
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094
Mailing Address - Country:US
Mailing Address - Phone:832-520-2200
Mailing Address - Fax:
Practice Address - Street 1:5807 GRAND SALINE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6173
Practice Address - Country:US
Practice Address - Phone:832-520-4827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX657806282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access