1821045592 NPI number — UNIVERSITY GENERAL HOSPITAL, LLC

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 1821045592 NPI number — UNIVERSITY GENERAL HOSPITAL, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY GENERAL HOSPITAL, LLC
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:
FOUNDATION SURGICAL HOSPITAL OF HOUSTON
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:
1821045592
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/28/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13900 N PORTLAND AVE
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73134-4042
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-608-1766
Provider Business Mailing Address Fax Number:
405-608-1866

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7501 FANNIN 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:
77054-1938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-375-7000
Provider Business Practice Location Address Fax Number:
713-375-7105
Provider Enumeration Date:
05/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BRALY
Authorized Official First Name:
CINDY
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CHIEF NURSING OFFICER
Authorized Official Telephone Number:
405-608-1728

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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