Provider Demographics
NPI:1851592364
Name:INRAD HOUSTON, LP
Entity Type:Organization
Organization Name:INRAD HOUSTON, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:VOSSLER
Authorized Official - Suffix:
Authorized Official - Credentials:CMD
Authorized Official - Phone:281-894-1213
Mailing Address - Street 1:11659 JONES RD PMB 115
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5903
Mailing Address - Country:US
Mailing Address - Phone:281-894-1213
Mailing Address - Fax:281-894-0968
Practice Address - Street 1:5445 LA BRANCH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6835
Practice Address - Country:US
Practice Address - Phone:832-282-5867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0222DCOtherBCBS PROVIDER NUMBER