Organization
THC - HOUSTON, LLC
Active
Other names
Kindred Hospital (Houston NW)
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (DIR LICENSURE & CERTIFICATION)
(502) 596-6063
Entity
Organization
Contact information
Practice address
11297 FALLBROOK DR, HOUSTON, TX 77065
(281) 517-1000
(281) 517-1003
Mailing address
11297 FALLBROOK DR, HOUSTON, TX 77065-4230
(281) 517-1000
(281) 517-1003
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282E00000X
Long Term Care Hospital
Primary
000706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021017101
—
TX
01
—
HH0891
BLUE CROSS
TX
Enumeration date
11/06/2006
Last updated
04/30/2026
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