Provider Demographics
NPI:1689606345
Name:HOUSTON SPECIALTY HOSPITAL, INC.
Entity Type:Organization
Organization Name:HOUSTON SPECIALTY HOSPITAL, INC.
Other - Org Name:PLAZA SPECIALTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF GOVT PROGRAMS, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-436-2267
Mailing Address - Street 1:PO BOX 849988
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-9988
Mailing Address - Country:US
Mailing Address - Phone:214-387-6444
Mailing Address - Fax:713-285-1001
Practice Address - Street 1:1300 BINZ ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7016
Practice Address - Country:US
Practice Address - Phone:713-285-1009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45-2046282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
HH0962OtherBCBS OF TEXAS
452046B000000OtherSECTION 1011
758803380OtherAETNA US HEALTHCARE (NATI
758803380OtherAETNA US HEALTHCARE (NATI