Provider Demographics
NPI:1659468841
Name:THI OF TEXAS AT HOUSTON, LLC
Entity Type:Organization
Organization Name:THI OF TEXAS AT HOUSTON, LLC
Other - Org Name:TEXAS SPECIALTY HOSPITAL AT HOUSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:AUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-640-2400
Mailing Address - Street 1:920 RIDGEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9390
Mailing Address - Country:US
Mailing Address - Phone:410-773-1000
Mailing Address - Fax:
Practice Address - Street 1:6160 SOUTH LOOP E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-1010
Practice Address - Country:US
Practice Address - Phone:713-640-2400
Practice Address - Fax:713-640-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165359401Medicaid
452043Medicare Oscar/Certification