1174731145 NPI number — TEXAS CHILDREN'S HOSPITAL

Table of content: (NPI 1174731145)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174731145 NPI number — TEXAS CHILDREN'S HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS CHILDREN'S HOSPITAL
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:
1174731145
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1919 S BRAESWOOD BLVD
Provider Second Line Business Mailing Address:
MEYER BUILDING 2ND FLOOR
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77030-4412
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-824-2400
Provider Business Mailing Address Fax Number:
832-825-6889

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1919 S BRAESWOOD BLVD
Provider Second Line Business Practice Location Address:
MEYER BUILDING 2ND FLOOR
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-4412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-824-2400
Provider Business Practice Location Address Fax Number:
832-825-6889
Provider Enumeration Date:
05/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HILTON
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
832-824-2311

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  008673 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332B00000X , with the licence number: 008673 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332BD1200X , with the licence number: 008673 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332BP3500X , with the licence number: 008673 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332BX2000X , with the licence number: 008673 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 333600000X , with the licence number: 008673 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 3336C0004X , with the licence number: 008673 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 3336H0001X , with the licence number: 008673 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 457776 . This is a "HOME HEALTH - UNICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 514768 . This is a "BCBS - DME" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 750082 . This is a "BCBS - INFUSION THERAPY" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 519806 . This is a "BCBS - HOME INJECTABLES" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH9278 . This is a "BCBS - HOME HEALTH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 5029669 . This is a "HOME HEALTH - AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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