Provider Demographics
NPI:1740572114
Name:GREATER NORTHWEST HOUSTON ENTERPRISES
Entity Type:Organization
Organization Name:GREATER NORTHWEST HOUSTON ENTERPRISES
Other - Org Name:NORTH HOUSTON ORTHOPAEDICS AND SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR DIR, ADMINISTR 501A, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANSTETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-893-2000
Mailing Address - Street 1:PO BOX 843839
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-3839
Mailing Address - Country:US
Mailing Address - Phone:281-746-3070
Mailing Address - Fax:281-970-5118
Practice Address - Street 1:800 PEAKWOOD DR
Practice Address - Street 2:STE 3A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2900
Practice Address - Country:US
Practice Address - Phone:281-746-3070
Practice Address - Fax:281-970-5118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies