Provider Demographics
NPI:1982240529
Name:BAYTOWN MEDICAL CENTER, LP
Entity Type:Organization
Organization Name:BAYTOWN MEDICAL CENTER, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SOURABH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDUJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-837-7600
Mailing Address - Street 1:PO BOX 1668 DEPT 302
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77251
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1404 W BAKER RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2140
Practice Address - Country:US
Practice Address - Phone:281-628-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYTOWN MEDICAL CENTER, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-19
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital