Provider Demographics
NPI:1336203942
Name:PHYSICAL REHABILITATION HOSPITAL OF BELLAIRE LLC
Entity Type:Organization
Organization Name:PHYSICAL REHABILITATION HOSPITAL OF BELLAIRE LLC
Other - Org Name:ATRIUM MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ATTORNEY
Authorized Official - Prefix:MS
Authorized Official - First Name:THUY
Authorized Official - Middle Name:P
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:337-233-6210
Mailing Address - Street 1:11929 W AIRPORT BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2451
Mailing Address - Country:US
Mailing Address - Phone:281-207-8200
Mailing Address - Fax:281-207-8390
Practice Address - Street 1:11929 W AIRPORT BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2451
Practice Address - Country:US
Practice Address - Phone:281-207-8200
Practice Address - Fax:281-207-8390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8740282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX670040Medicare Oscar/Certification