Provider Demographics
NPI:1518350297
Name:POLARIS HEALTH SYSTEM, INC.
Entity Type:Organization
Organization Name:POLARIS HEALTH SYSTEM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF HOSPITAL ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-526-2441
Mailing Address - Street 1:3204 ENNIS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-3213
Mailing Address - Country:US
Mailing Address - Phone:713-526-2441
Mailing Address - Fax:713-526-3554
Practice Address - Street 1:3204 ENNIS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-3213
Practice Address - Country:US
Practice Address - Phone:713-526-2441
Practice Address - Fax:713-526-3554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital