Healthcare Provider Details
I. General information
NPI: 1669463196
Provider Name (Legal Business Name): HOSPITAL INPATIENT GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/03/2005
Last Update Date: 06/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 MEDICAL CENTER BLVD
WEBSTER TX
77598-4220
US
IV. Provider business mailing address
PO BOX 203257
HOUSTON TX
77216-3257
US
V. Phone/Fax
- Phone: 281-784-1111
- Fax: 281-784-1555
- Phone: 281-784-1111
- Fax: 281-784-1555
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIMOTHY
SEAY
Title or Position: CEO
Credential: M.D.
Phone: 281-209-8921