Healthcare Provider Details

I. General information

NPI: 1114340080
Provider Name (Legal Business Name): ASPIRE HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2014
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 S LOOP 336 W STE 500
CONROE TX
77304-3315
US

IV. Provider business mailing address

2006 S LOOP 336 W STE 500
CONROE TX
77304-3315
US

V. Phone/Fax

Practice location:
  • Phone: 936-647-3500
  • Fax: 936-647-3479
Mailing address:
  • Phone: 936-647-3500
  • Fax: 936-647-3479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number100173
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State

VIII. Authorized Official

Name: NIKO MANTZOROS
Title or Position: CEO
Credential:
Phone: 936-647-3500