Provider Demographics
NPI:1578588125
Name:TEXAS EAR NOSE AND THROAT CONSULTANTS PLLC
Entity Type:Organization
Organization Name:TEXAS EAR NOSE AND THROAT CONSULTANTS PLLC
Other - Org Name:CHILDREN'S ENT OF HOUSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-796-2304
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 2001
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-796-2001
Mailing Address - Fax:713-796-9172
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 2001
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-796-2001
Practice Address - Fax:713-796-9172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080344701Medicaid
00030AX7Medicare ID - Type Unspecified