Provider Demographics
NPI:1609024066
Name:LIANNA MEDICAL CENTER
Entity Type:Organization
Organization Name:LIANNA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:UMANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-637-7344
Mailing Address - Street 1:13415 WOODFOREST BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-2922
Mailing Address - Country:US
Mailing Address - Phone:713-637-7344
Mailing Address - Fax:713-637-7446
Practice Address - Street 1:13415 WOODFOREST BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-2922
Practice Address - Country:US
Practice Address - Phone:713-637-7344
Practice Address - Fax:713-637-7446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care