Healthcare Provider Details

I. General information

NPI: 1124517347
Provider Name (Legal Business Name): MH EMERUS TOMBALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2018
Last Update Date: 02/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16000 SOUTHWEST FWY STE 100
SUGAR LAND TX
77479-2674
US

IV. Provider business mailing address

8686 NEW TRAILS DR STE 100
THE WOODLANDS TX
77381-1176
US

V. Phone/Fax

Practice location:
  • Phone: 281-277-0911
  • Fax: 281-277-4511
Mailing address:
  • Phone: 713-637-1146
  • Fax: 713-637-1084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOHN BUCK
Title or Position: PRESIDENT
Credential:
Phone: 713-637-1004