Organization
ICU ASSOCIATES OF WEST HOUSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY SHRADER (DIRECTOR OF MSA PROGRAMS)
(423) 580-1884
Entity
Organization
Contact information
Practice address
12141 RICHMOND AVE, HOUSTON, TX 77082-2408
(281) 558-3444
Mailing address
6000 FELDWOOD RD, LOCK BOX 741627, ATLANTA, GA 30349-3652
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AP132181
TX
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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