Provider Demographics
NPI:1205381886
Name:KATY FREEWAY MEDICAL CENTER
Entity Type:Organization
Organization Name:KATY FREEWAY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-926-3408
Mailing Address - Street 1:1000 JORIE BLVD
Mailing Address - Street 2:SUITE 370
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2214
Mailing Address - Country:US
Mailing Address - Phone:630-417-4307
Mailing Address - Fax:
Practice Address - Street 1:9079 KATY FWY
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1653
Practice Address - Country:US
Practice Address - Phone:630-417-4307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty