Provider Demographics
NPI:1013968726
Name:HEALTHBRIDGE CHILDREN'S HOSPITAL - HOUSTON, LTD.
Entity type:Organization
Organization Name:HEALTHBRIDGE CHILDREN'S HOSPITAL - HOUSTON, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASSIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-355-6111
Mailing Address - Street 1:1 RIVERWAY STE 700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-1988
Mailing Address - Country:US
Mailing Address - Phone:713-355-6111
Mailing Address - Fax:
Practice Address - Street 1:2929 WOODLAND PARK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2687
Practice Address - Country:US
Practice Address - Phone:281-293-7774
Practice Address - Fax:281-293-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282NC2000X, 283XC2000X, 281PC2000X, 282E00000X
TX7125284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
No282NC2000XHospitalsGeneral Acute Care HospitalChildren
No283XC2000XHospitalsRehabilitation HospitalChildren
No281PC2000XHospitalsChronic Disease HospitalChildren
No282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX021185601Medicaid
TX148699OtherSUPERIOR
TXHH0981OtherBLUE CROSS
TX021185602OtherCSHCN
LA1707058Medicaid
TX10028136OtherAMERIGROUP
TX021185601Medicaid