Provider Demographics
NPI:1477583334
Name:NEW MEDICAL HORIZONS II, LTD.
Entity Type:Organization
Organization Name:NEW MEDICAL HORIZONS II, LTD.
Other - Org Name:CYPRESS FAIRBANKS MEDICAL CENTER HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF GOVT PROGRAMS, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-436-2267
Mailing Address - Street 1:PO BOX 849762
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-9762
Mailing Address - Country:US
Mailing Address - Phone:281-949-3615
Mailing Address - Fax:281-890-5341
Practice Address - Street 1:10655 STEEPLETOP DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4222
Practice Address - Country:US
Practice Address - Phone:281-890-4285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207P00000X
TX000606282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
742054101OtherFORTIS JOHN ALDEN LIFE IN
TX112718502Medicaid
603334OtherAETNA US HEALTHCARE (NATI
742054101OtherHUMANA
9540OtherCOVENTRY HEALTH CARE LOUI
HH0768OtherBCBS OF TEXAS
TX112718503Medicaid
LA1760048Medicaid
74-2054101OtherPPONEXT
450716B000000OtherSECTION 1011
9540OtherCOVENTRY HEALTH CARE LOUI