Provider Demographics
NPI:1790972750
Name:TRIUMPH HYPERBARIC PA
Entity Type:Organization
Organization Name:TRIUMPH HYPERBARIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-464-7555
Mailing Address - Street 1:7333 NORTH FWY STE 310
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-1320
Mailing Address - Country:US
Mailing Address - Phone:713-464-7555
Mailing Address - Fax:713-464-0219
Practice Address - Street 1:7333 NORTH FWY STE 310
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1320
Practice Address - Country:US
Practice Address - Phone:713-464-7555
Practice Address - Fax:713-464-0219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00658RMedicare PIN