Healthcare Provider Details

I. General information

NPI: 1699013037
Provider Name (Legal Business Name): HPH PHYSICIANS GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2013
Last Update Date: 06/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N TEXAS AVE STE 1000
WEBSTER TX
77598-4962
US

IV. Provider business mailing address

333 N TEXAS AVE STE 1000
WEBSTER TX
77598-4962
US

V. Phone/Fax

Practice location:
  • Phone: 281-557-4614
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number571421
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberN8000
License Number StateTX

VIII. Authorized Official

Name: MS. MICHELE E DIONNE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 281-557-4614