Provider Demographics
NPI:1477739704
Name:DUBUIS HEALTH SYSTEM, INC.
Entity Type:Organization
Organization Name:DUBUIS HEALTH SYSTEM, INC.
Other - Org Name:DUBUIS HOSPITAL OF BRYAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-277-2334
Mailing Address - Street 1:1700 WEST LOOP S
Mailing Address - Street 2:SUITE 1100A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3007
Mailing Address - Country:US
Mailing Address - Phone:713-277-2350
Mailing Address - Fax:713-277-2386
Practice Address - Street 1:1600 JOSEPH DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-1502
Practice Address - Country:US
Practice Address - Phone:979-821-7592
Practice Address - Fax:979-821-7593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
452113Medicare Oscar/Certification