Healthcare Provider Details

I. General information

NPI: 1952054603
Provider Name (Legal Business Name): THC - HOUSTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2022
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11297 FALLBROOK DR
HOUSTON TX
77065-4230
US

IV. Provider business mailing address

11297 FALLBROOK DR
HOUSTON TX
77065-4230
US

V. Phone/Fax

Practice location:
  • Phone: 281-517-1000
  • Fax:
Mailing address:
  • Phone: 281-517-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: KATHY TEAGUE
Title or Position: VICE PRESIDENT, CORPORATE SECRETARY
Credential:
Phone: 629-253-5121