Provider Demographics
NPI:1770731598
Name:HEALTHCARE ASSOCIATES OF TEXAS
Entity type:Organization
Organization Name:HEALTHCARE ASSOCIATES OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:LAQUITH
Authorized Official - Middle Name:T
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-438-8755
Mailing Address - Street 1:14503 LAZY WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-1873
Mailing Address - Country:US
Mailing Address - Phone:281-438-8755
Mailing Address - Fax:281-438-8755
Practice Address - Street 1:14503 LAZY WILLOW LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-1873
Practice Address - Country:US
Practice Address - Phone:281-438-8755
Practice Address - Fax:281-438-8755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty