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NPI Code Detail

MEDICARE: CAMBRIDGE HOSPITAL LLC

MEDICARE: CAMBRIDGE HOSPITAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric Hospital100151TX

General Provider Information

NPI Number : 1295097624
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMBRIDGE HOSPITAL LLC
Provider Business Mailing Address
First Line : 7505 FANNIN ST
Second Line : SUITE 304
City : HOUSTON
State : TX
Zip : 77054-1913
Country : US
Telephone Number : 713-790-1155
Fax Number : 713-790-0618
Provider Business Practice Location Address
First Line : 7601 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1905
Country : US
Telephone Number : 713-790-1155
Fax Number : 713-790-0618
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. TIMOTHY SHARMA
Credential : M.D.
Telephone Number : 713-790-1155
Provider Enumeration Date : 06/12/2012
Last Update Date : 06/12/2012

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Directions to “CAMBRIDGE HOSPITAL LLC ” Practice Location

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