1578781969 NPI number — THE INSTITUTE FOR REHABILITATION AND RESEARCH

Table of content: (NPI 1578781969)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578781969 NPI number — THE INSTITUTE FOR REHABILITATION AND RESEARCH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE INSTITUTE FOR REHABILITATION AND RESEARCH
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:
MEMORIAL HERMANN TIRR
Provider Other Organization Name Type Code:
3
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:
1578781969
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/05/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 301208
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75303-1208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-338-4127
Provider Business Mailing Address Fax Number:
713-338-4158

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1333 MOURSUND ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-3405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-338-4127
Provider Business Practice Location Address Fax Number:
713-338-4158
Provider Enumeration Date:
04/23/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LARAWAY
Authorized Official First Name:
DENNIS
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
713-242-2707

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 138003205 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 337433205 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".