Provider Demographics
NPI:1821350117
Name:TRIUMPHANT HEALTH CENTER, PC
Entity Type:Organization
Organization Name:TRIUMPHANT HEALTH CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-465-9314
Mailing Address - Street 1:322 SPRING HILL DR. SUITE A100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3503
Mailing Address - Country:US
Mailing Address - Phone:832-465-9314
Mailing Address - Fax:
Practice Address - Street 1:322 SPRING HILL DR. SUITE A100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-3503
Practice Address - Country:US
Practice Address - Phone:832-465-9314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIUMPHANT HEALTH CENTER, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-12
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8179B0Medicare PIN