Healthcare Provider Details
I. General information
NPI: 1982653473
Provider Name (Legal Business Name): LAREDO TEXAS HOSPITAL COMPANY LP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1700 E SAUNDERS ST
LAREDO TX
78041-5474
US
IV. Provider business mailing address
PO BOX 689022
FRANKLIN TN
37068-9022
US
V. Phone/Fax
- Phone: 956-796-2810
- Fax: 956-796-2902
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
P
WRIGHT
Title or Position: VP PHYSICAN BUSINESS SERVICES
Credential:
Phone: 615-778-1502