Healthcare Provider Details

I. General information

NPI: 1689869216
Provider Name (Legal Business Name): WESTBURY COMMUNITY HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 11/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5556 GASMER DR
HOUSTON TX
77035-4502
US

IV. Provider business mailing address

5556 GASMER DR
HOUSTON TX
77035-4502
US

V. Phone/Fax

Practice location:
  • Phone: 713-422-2650
  • Fax:
Mailing address:
  • Phone: 713-422-2650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number100061
License Number StateTX

VIII. Authorized Official

Name: MR. STEVEN L. HOUSEWORTH JR.
Title or Position: MANAGER
Credential:
Phone: 832-248-4636