Provider Demographics
NPI:1568948032
Name:KPH-CONSOLIDATION, INC.
Entity Type:Organization
Organization Name:KPH-CONSOLIDATION, INC.
Other - Org Name:HCA HOUSTON HEALTHCARE NORTH CYPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VIRGIL
Authorized Official - Middle Name:HERBERT
Authorized Official - Last Name:WINSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-348-8013
Mailing Address - Street 1:21216 NORTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1439
Mailing Address - Country:US
Mailing Address - Phone:832-912-3745
Mailing Address - Fax:832-912-3055
Practice Address - Street 1:21216 NORTHWEST FWY
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1439
Practice Address - Country:US
Practice Address - Phone:832-912-3745
Practice Address - Fax:832-912-3055
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KPH-CONSOLIDATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-17
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment