Organization
THE METHODIST HOSPITAL
Active
Other names
Houston Methodist Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MARC BOOM MD (PRESIDENT/CEO)
(713) 441-2671
Entity
Organization
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 790-3311
Mailing address
PO BOX 4755, HOUSTON, TX 77210-4755
(832) 522-7574
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
0124
TX
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
00124
TX
273R00000X
Psychiatric Hospital Unit
000124
TX
273Y00000X
Rehabilitation Hospital Unit
00124
TX
282N00000X
General Acute Care Hospital
Primary
00124
TX
314000000X
Skilled Nursing Facility
00124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
CHAMPUS ACUTE PSYCH CHEM
TX
01
—
0001
CHAMPUS REHAB
TX
Enumeration date
03/23/2007
Last updated
07/18/2022
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