1033713862 NPI number — HORIZON CLINICAL RESEARCH GROUP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033713862 NPI number — HORIZON CLINICAL RESEARCH GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HORIZON CLINICAL RESEARCH GROUP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033713862
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/23/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5035 BLOOMFIELD PASS CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77479-3768
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-354-1918
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21216 NORTHWEST FWY STE 430
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CYPRESS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77429-4696
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-803-9960
Provider Business Practice Location Address Fax Number:
281-587-7425
Provider Enumeration Date:
11/23/2020

Additional Information

Authorized Official

Authorized Official Last Name:
HOTA
Authorized Official First Name:
BISWADEEP
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR - OPERATIONS
Authorized Official Telephone Number:
949-354-1918

Provider Taxonomy Codes

  • Taxonomy code: 1744R1102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR1100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com