Provider Demographics
NPI:1497871628
Name:METHODIST HEALTH CENTERS
Entity Type:Organization
Organization Name:METHODIST HEALTH CENTERS
Other - Org Name:HOUSTON METHODIST SUGAR LAND HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:SIEBENALER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-274-7500
Mailing Address - Street 1:PO BOX 4755
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4755
Mailing Address - Country:US
Mailing Address - Phone:832-522-7574
Mailing Address - Fax:832-667-5903
Practice Address - Street 1:16655 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2329
Practice Address - Country:US
Practice Address - Phone:281-274-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA1903X
TX000823282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0002OtherCHAMPUS
TX0002OtherCHAMPUS
TX450820Medicare ID - Type Unspecified