1831112895 NPI number — HOUSTON NORTHWEST PARTNERS, LTD.

Table of content: (NPI 1568248193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831112895 NPI number — HOUSTON NORTHWEST PARTNERS, LTD.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOUSTON NORTHWEST PARTNERS, LTD.
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:
HOUSTON NORTHWEST MEDICAL CENTER
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:
1831112895
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/28/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 849782
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:
75284-9782
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-440-2172
Provider Business Mailing Address Fax Number:
281-440-2474

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
710 FM 1960 RD W
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:
77090-3402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-440-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RABE
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
VP OF TAXATION, TENET HEALTHCARE
Authorized Official Telephone Number:
469-893-2530

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  000229 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: HH0686 . This is a "BCBS OF TEXAS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0789510 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01672980 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2098135 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 094185802 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 909384200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: B3262 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 017875303 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 094185801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1288282 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 236847 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1738701 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200198170A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 358649290 . This is a "AETNA US HEALTHCARE (NATI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4500638 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000429 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01170370 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10469A , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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