Healthcare Provider Details

I. General information

NPI: 1740572114
Provider Name (Legal Business Name): GREATER NORTHWEST HOUSTON ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 06/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 PEAKWOOD DR STE 3A
HOUSTON TX
77090-2900
US

IV. Provider business mailing address

PO BOX 843839
DALLAS TX
75284-3839
US

V. Phone/Fax

Practice location:
  • Phone: 281-746-3070
  • Fax: 281-970-5118
Mailing address:
  • Phone: 281-746-3070
  • Fax: 281-970-5118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT BRANSTETTER
Title or Position: SR DIR, ADMINISTR 501A, TENET
Credential:
Phone: 469-893-2000