# LAKEWOOD HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528386091
- **Authorized official:** MS. OLATOKUNBO IFAYEMI ODUTAYO R.N. (DIRECTOR OF NURSING)
- **Authorized official phone:** (832) 859-3932

## Contact information

- **Practice address:** 1001 DICKERSON DR, JASPER, TX 75951-5110
- **Practice address phone:** (713) 661-0001
- **Practice address fax:** (713) 669-4862
- **Mailing address:** 8800 S MAIN ST, HOUSTON, TX 77025-2707
- **Mailing address phone:** (713) 661-0001
- **Mailing address fax:** (713) 669-4862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | K 6196 | TX | Yes |

## Other

- **Enumeration date:** 05/08/2010
- **Last updated:** 05/08/2010