Healthcare Provider Details

I. General information

NPI: 1669957619
Provider Name (Legal Business Name): WEST WHARTON COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13600 BIRDCALL LANE
CYPRESS TX
77429
US

IV. Provider business mailing address

13600 BIRDCALL LN
CYPRESS TX
77429-7899
US

V. Phone/Fax

Practice location:
  • Phone: 281-477-7771
  • Fax: 281-477-7773
Mailing address:
  • Phone: 281-477-7771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID H MAK
Title or Position: CFO
Credential:
Phone: 713-569-7370