Provider Demographics
NPI:1770793804
Name:HOUSTON TEXAS MEDICAL CENTER,LLC
Entity type:Organization
Organization Name:HOUSTON TEXAS MEDICAL CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-283-6264
Mailing Address - Street 1:9644 COURT GLEN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-2541
Mailing Address - Country:US
Mailing Address - Phone:832-283-6264
Mailing Address - Fax:281-879-0960
Practice Address - Street 1:9644 COURT GLEN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2541
Practice Address - Country:US
Practice Address - Phone:832-283-6264
Practice Address - Fax:281-879-0960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty