Provider Demographics
NPI:1184042822
Name:WOODLANDS SPECIALTY HOSPITAL
Entity Type:Organization
Organization Name:WOODLANDS SPECIALTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOPARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-326-8032
Mailing Address - Street 1:25440 INTERSTATE 45 N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1343
Mailing Address - Country:US
Mailing Address - Phone:281-602-8160
Mailing Address - Fax:281-466-1052
Practice Address - Street 1:25440 INTERSTATE 45 N
Practice Address - Street 2:SUITE 100
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77386-1343
Practice Address - Country:US
Practice Address - Phone:281-602-8160
Practice Address - Fax:281-466-1052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100265282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital