Provider Demographics
NPI:1205006038
Name:TEXOMA HOSPITAL PARTNERS, LLC
Entity Type:Organization
Organization Name:TEXOMA HOSPITAL PARTNERS, LLC
Other - Org Name:CARRUS SPECIALTY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ATTORNEY
Authorized Official - Prefix:MS
Authorized Official - First Name:THUY
Authorized Official - Middle Name:P
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:337-233-8210
Mailing Address - Street 1:1810 WEST HWY 82
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7378
Mailing Address - Country:US
Mailing Address - Phone:281-921-5300
Mailing Address - Fax:281-921-5350
Practice Address - Street 1:1810 WEST HWY 82
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7378
Practice Address - Country:US
Practice Address - Phone:281-921-5300
Practice Address - Fax:281-921-5350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPENDING282E00000X
TX100049282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX452041Medicare UPIN
452041Medicare Oscar/Certification