Provider Demographics
NPI:1407856081
Name:GREATER HOUSTON THERAPEUTICS LP
Entity Type:Organization
Organization Name:GREATER HOUSTON THERAPEUTICS LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CORNELIO
Authorized Official - Middle Name:SILVAS
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:281-920-5100
Mailing Address - Street 1:12000 RICHMOND AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082
Mailing Address - Country:US
Mailing Address - Phone:281-920-5100
Mailing Address - Fax:281-920-5101
Practice Address - Street 1:12000 RICHMOND AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082
Practice Address - Country:US
Practice Address - Phone:281-920-5100
Practice Address - Fax:281-920-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2278P1005X
TX225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary RehabilitationGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX454837Medicare ID - Type UnspecifiedCORF