Provider Demographics
NPI:1669473781
Name:HARRIS COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:HARRIS COUNTY HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-873-2996
Mailing Address - Street 1:5403 CANDLEMIST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-5641
Mailing Address - Country:US
Mailing Address - Phone:713-873-2973
Mailing Address - Fax:713-873-3554
Practice Address - Street 1:5403 CANDLEMIST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-5641
Practice Address - Country:US
Practice Address - Phone:713-873-2973
Practice Address - Fax:713-873-3554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18099273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit