Provider Demographics
NPI:1831112895
Name:HOUSTON NORTHWEST PARTNERS, LTD.
Entity Type:Organization
Organization Name:HOUSTON NORTHWEST PARTNERS, LTD.
Other - Org Name:HOUSTON NORTHWEST MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF TAXATION, TENET HEALTHCARE
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:RABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-893-2530
Mailing Address - Street 1:PO BOX 849782
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-9782
Mailing Address - Country:US
Mailing Address - Phone:281-440-2172
Mailing Address - Fax:281-440-2474
Practice Address - Street 1:710 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3402
Practice Address - Country:US
Practice Address - Phone:281-440-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000229282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
HH0686OtherBCBS OF TEXAS
PA0789510Medicaid
NY01672980Medicaid
OH2098135Medicaid
TX094185802Medicaid
FL909384200Medicaid
NMB3262Medicaid
MO017875303Medicaid
TX094185801Medicaid
NV1288282Medicaid
OR236847Medicaid
LA1738701Medicaid
IN200198170AMedicaid
358649290OtherAETNA US HEALTHCARE (NATI
NC4500638Medicaid
000429OtherHUMANA
MS01170370Medicaid
SC10469AMedicaid
SC10469AMedicaid
MO017875303Medicaid