Provider Demographics
NPI:1750523593
Name:LTHM HOUSTON - OPERATIONS LLC
Entity type:Organization
Organization Name:LTHM HOUSTON - OPERATIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAPTER 7 TRUSTEE
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:OGLE
Authorized Official - Suffix:
Authorized Official - Credentials:CHAPTER 71 TRUSTEE
Authorized Official - Phone:713-412-1304
Mailing Address - Street 1:2807 LITTLE YORK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77093-3405
Mailing Address - Country:US
Mailing Address - Phone:713-697-7777
Mailing Address - Fax:713-630-8232
Practice Address - Street 1:2807 LITTLE YORK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-3405
Practice Address - Country:US
Practice Address - Phone:713-697-7777
Practice Address - Fax:713-630-8232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282N00000X
TX100008282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
45-0795Medicare PIN
45-0765Medicare PIN