MEDICARE: HOUSTON SPECIALTY HOSPITAL, INC.

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
1	282N00000X	General Acute Care Hospital	45-2046	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	HH0962	OTHER	BCBS OF TEXAS
2	452046B000000	OTHER	SECTION 1011
3	758803380	OTHER	AETNA US HEALTHCARE (NATI

General Provider Information

NPI Number	:	1689606345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON SPECIALTY HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	PO BOX 849988
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-9988
Country	:	US
Telephone Number	:	214-387-6444
Fax Number	:	713-285-1001

Provider Business Practice Location Address
First Line	:	1300 BINZ ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7016
Country	:	US
Telephone Number	:	713-285-1009
Fax Number	:

Authorized Official
Title or Position	:	VP OF GOVT PROGRAMS, TENET
Name	:	MR. CRAIG C. ARMIN
Credential	:
Telephone Number	:	818-436-2267

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	03/18/2021

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