MEDICARE: HOUSTON NORTHWEST 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
1	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1801732631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON NORTHWEST OPERATING COMPANY, LLC

Provider Business Mailing Address
First Line	:	13338 TOMBALL PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77086-3129
Country	:	US
Telephone Number	:	346-422-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	13338 TOMBALL PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77086-3129
Country	:	US
Telephone Number	:	346-422-2700
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	THOMAS A HOLT
Credential	:
Telephone Number	:	281-440-1000

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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