Provider Demographics
NPI:1780853671
Name:HOUSTON HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:HOUSTON HEALTHCARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-577-0001
Mailing Address - Street 1:1368 NORTH UNIVERSITY DRIVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4734
Mailing Address - Country:US
Mailing Address - Phone:954-577-0001
Mailing Address - Fax:954-577-0030
Practice Address - Street 1:1368 NORTH UNIVERSITY DRIVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4734
Practice Address - Country:US
Practice Address - Phone:954-577-0001
Practice Address - Fax:954-577-0030
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOUSTON HEALTHCARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-25
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QU0200X
FLME95946261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care