Provider Demographics
NPI:1720419260
Name:PROMISE HOSPITAL OF HOUSTON INC.
Entity Type:Organization
Organization Name:PROMISE HOSPITAL OF HOUSTON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP/GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-869-3100
Mailing Address - Street 1:999 YAMATO RD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4477
Mailing Address - Country:US
Mailing Address - Phone:561-869-3100
Mailing Address - Fax:561-826-0171
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?:Yes
Parent Organization LBN:PROMISE HEALTHCARE #2, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-10
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX452043Medicare Oscar/Certification