Healthcare Provider Details
I. General information
NPI: 1053180968
Provider Name (Legal Business Name): HOUSTON HOSPITALS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
233 N HOUSTON RD STE 140A
WARNER ROBINS GA
31093-3023
US
IV. Provider business mailing address
1601 WATSON BLVD
WARNER ROBINS GA
31093-3431
US
V. Phone/Fax
- Phone: 478-975-6720
- Fax:
- Phone: 478-922-4281
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SEAN
STEVEN
WHILDEN
Title or Position: VP/CFO
Credential:
Phone: 478-542-7959