Organization
RIVERSIDE GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARNEST GIBSON III (PRESIDENT)
(713) 526-2441
Entity
Organization
Contact information
Practice address
3204 ENNIS STREET, HOUSTON, TX 77004-3213
(713) 526-2441
(713) 526-8754
Mailing address
3204 ENNIS ST, HOUSTON, TX 77004-3213
(713) 526-2441
(713) 526-8754
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
000460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131040104
—
TX
Enumeration date
04/18/2006
Last updated
08/09/2011
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