Provider Demographics
NPI:1821361692
Name:CRIMSON HEALTHCARE MANAGEMENT, LLC
Entity Type:Organization
Organization Name:CRIMSON HEALTHCARE MANAGEMENT, LLC
Other - Org Name:RUDY TOMJANOVICH MULTI-DISCIPLINARY PAIN MANAGEMENT PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:REED
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-201-2950
Mailing Address - Street 1:1111 HIGHWAY 6
Mailing Address - Street 2:SUITE 235
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4914
Mailing Address - Country:US
Mailing Address - Phone:281-201-2950
Mailing Address - Fax:281-201-2951
Practice Address - Street 1:1111 HIGHWAY 6
Practice Address - Street 2:SUITE 235
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4914
Practice Address - Country:US
Practice Address - Phone:281-201-2950
Practice Address - Fax:281-201-2951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization