1841562667 NPI number — LHP TEXAS MD SERVICES, INC

Table of content: (NPI 1841562667)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841562667 NPI number — LHP TEXAS MD SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LHP TEXAS MD SERVICES, INC
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:
6
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:
1841562667
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/26/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 W CENTRAL TEXAS EXPY
Provider Second Line Business Mailing Address:
SUITE 210
Provider Business Mailing Address City Name:
HARKER HEIGHTS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76548-7469
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-618-4933
Provider Business Mailing Address Fax Number:
254-618-1191

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 WEST CENTRAL TEXAS EXPRESSWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARKER HEIGHTS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76548-1890
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
245-618-1020
Provider Business Practice Location Address Fax Number:
254-618-1191
Provider Enumeration Date:
02/09/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HURLEY
Authorized Official First Name:
REBECCA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
866-465-9222

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RG0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0008XK . This is a "BLUE CROSS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".