Healthcare Provider Details

I. General information

NPI: 1386055960
Provider Name (Legal Business Name): CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 STONEY BROOK DR
HOUSTON TX
77063-4611
US

IV. Provider business mailing address

2808 STONEY BROOK DR
HOUSTON TX
77063-4611
US

V. Phone/Fax

Practice location:
  • Phone: 713-782-4355
  • Fax:
Mailing address:
  • Phone: 713-782-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT PASCASIO
Title or Position: CEO
Credential:
Phone: 409-267-3143