Provider Demographics
NPI:1013926591
Name:INNOVA HOSPITAL HOUSTON LP
Entity Type:Organization
Organization Name:INNOVA HOSPITAL HOUSTON LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-654-9000
Mailing Address - Street 1:2001 HERMANN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7321
Mailing Address - Country:US
Mailing Address - Phone:713-358-5300
Mailing Address - Fax:713-358-5390
Practice Address - Street 1:2001 HERMANN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7321
Practice Address - Country:US
Practice Address - Phone:713-358-5300
Practice Address - Fax:713-358-5390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008307282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital