Healthcare Provider Details

I. General information

NPI: 1093929986
Provider Name (Legal Business Name): HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N. LOOP WEST SUITE 1300
HOUSTON TX
77092-8815
US

IV. Provider business mailing address

2900 N. LOOP WEST SUITE 1300
HOUSTON TX
77092-8815
US

V. Phone/Fax

Practice location:
  • Phone: 832-553-3300
  • Fax: 832-553-3584
Mailing address:
  • Phone: 832-553-3300
  • Fax: 832-553-3584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number0196158
License Number StateTX

VIII. Authorized Official

Name: MRS. MARLENA POWELL PICKERING
Title or Position: CORPORATE COUNSEL
Credential: ESQUIRE
Phone: 571-401-5886