Provider Demographics
NPI:1780992925
Name:LA MANSION INTERESTS INC
Entity type:Organization
Organization Name:LA MANSION INTERESTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:LILLIE
Authorized Official - Last Name:TAAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-860-8383
Mailing Address - Street 1:2620 TANGLEWILDE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3203
Mailing Address - Country:US
Mailing Address - Phone:713-860-8383
Mailing Address - Fax:713-860-8384
Practice Address - Street 1:2620 TANGLEWILDE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3203
Practice Address - Country:US
Practice Address - Phone:713-860-8383
Practice Address - Fax:713-860-8384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty