Healthcare Provider Details
I. General information
NPI: 1114556503
Provider Name (Legal Business Name): TEXAS HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2020
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5006 WATERBECK ST
WESTON LAKES TX
77441-4143
US
IV. Provider business mailing address
5006 WATERBECK ST
WESTON LAKES TX
77441-4143
US
V. Phone/Fax
- Phone: 281-850-5325
- Fax:
- Phone: 281-850-5325
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CARMEN
OBLEPIAS
Title or Position: ADMINISTRATOR
Credential:
Phone: 281-850-5325