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NPI Code Detail

MEDICARE: HOUSTON LTAC OPERATING COMPANY LLC

MEDICARE: HOUSTON LTAC OPERATING COMPANY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282E00000XLong Term Care Hospital

General Provider Information

NPI Number : 1437588795
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON LTAC OPERATING COMPANY LLC
Provider Business Mailing Address
First Line : 6160 SOUTH LOOP E
Second Line :
City : HOUSTON
State : TX
Zip : 77087-1010
Country : US
Telephone Number : 832-467-6000
Fax Number :
Provider Business Practice Location Address
First Line : 5300 W SAM HOUSTON PKWY N
Second Line : SUITE 100
City : HOUSTON
State : TX
Zip : 77041-5161
Country : US
Telephone Number : 832-467-5728
Fax Number :
Authorized Official
Title or Position : SVP OPERATIONS FINANCE
Name : THOMAS P SIMONS
Credential :
Telephone Number : 678-443-7000
Provider Enumeration Date : 11/07/2013
Last Update Date : 11/08/2013

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Directions to “HOUSTON LTAC OPERATING COMPANY LLC ” Practice Location

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