Provider Demographics
NPI:1518677210
Name:HOUSTON MEDICAL STAFFING LLC
Entity Type:Organization
Organization Name:HOUSTON MEDICAL STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-853-5992
Mailing Address - Street 1:1000 MAIN ST
Mailing Address - Street 2:STE 2300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-6943
Mailing Address - Country:US
Mailing Address - Phone:470-658-4519
Mailing Address - Fax:
Practice Address - Street 1:1000 MAIN ST STE 2300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-6353
Practice Address - Country:US
Practice Address - Phone:470-658-4519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health