Healthcare Provider Details
I. General information
NPI: 1841562667
Provider Name (Legal Business Name): LHP TEXAS MD SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2012
Last Update Date: 01/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 WEST CENTRAL TEXAS EXPRESSWAY
HARKER HEIGHTS TX
76548-1890
US
IV. Provider business mailing address
100 W CENTRAL TEXAS EXPY SUITE 210
HARKER HEIGHTS TX
76548-7469
US
V. Phone/Fax
- Phone: 245-618-1020
- Fax: 254-618-1191
- Phone: 254-618-4933
- Fax: 254-618-1191
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
REBECCA
HURLEY
Title or Position: DIRECTOR
Credential:
Phone: 866-465-9222