Healthcare Provider Details

I. General information

NPI: 1144203662
Provider Name (Legal Business Name): TOPS SPECIALTY HOSPITAL, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17080 RED OAK DR
HOUSTON TX
77090-2602
US

IV. Provider business mailing address

14201 DALLAS PKWY
DALLAS TX
75254-2916
US

V. Phone/Fax

Practice location:
  • Phone: 281-539-2900
  • Fax: 281-715-4525
Mailing address:
  • Phone: 972-763-3859
  • Fax: 281-715-4525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number000674
License Number StateTX

VIII. Authorized Official

Name: NICHOLAS CRAFTS
Title or Position: OFFICER/AUTHORIZED OFFICIAL
Credential:
Phone: 832-729-4009