Provider Demographics
NPI:1255754073
Name:UNIVERSITY OF HOUSTON
Entity type:Organization
Organization Name:UNIVERSITY OF HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPARTMENT BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-743-2904
Mailing Address - Street 1:100 CLINICAL RESEARCH CTR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77204-6018
Mailing Address - Country:US
Mailing Address - Phone:713-743-2904
Mailing Address - Fax:713-743-2926
Practice Address - Street 1:4505 CULLEN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77204
Practice Address - Country:US
Practice Address - Phone:713-743-2904
Practice Address - Fax:713-743-2926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty