Provider Demographics
NPI:1467818609
Name:DOCTORS' HOSPITAL OF LAREDO
Entity Type:Organization
Organization Name:DOCTORS' HOSPITAL OF LAREDO
Other - Org Name:LAREDO REGIONAL MEDICAL CENTER LP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:230 CALLE DEL NORTE
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5957
Mailing Address - Country:US
Mailing Address - Phone:956-693-5000
Mailing Address - Fax:
Practice Address - Street 1:230 CALLE DEL NORTE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5957
Practice Address - Country:US
Practice Address - Phone:956-693-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX475571Medicare Oscar/Certification