Healthcare Provider Details

I. General information

NPI: 1497224356
Provider Name (Legal Business Name): U.S. INTENSIVIST PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2018
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 HOLDERRIETH BLVD
TOMBALL TX
77375-6445
US

IV. Provider business mailing address

5118 YARWELL DR
HOUSTON TX
77096-5314
US

V. Phone/Fax

Practice location:
  • Phone: 281-401-7500
  • Fax:
Mailing address:
  • Phone: 713-412-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TODD LAWRENCE KELLY
Title or Position: OWNER
Credential: MD
Phone: 713-412-1200