Organization
THC - HOUSTON, LLC
Active
Other names
Kindred Hospital (Bay Area)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE K. DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
4801 E SAM HOUSTON PKWY S, PASADENA, TX 77505
(281) 991-5463
(281) 991-1655
Mailing address
4801 E SAM HOUSTON PKWY S, PASADENA, TX 77505-3955
(281) 991-5463
(281) 991-1655
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
000801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021017101
—
TX
01
—
HH0932
BLUE CROSS
TX
Enumeration date
11/06/2006
Last updated
05/02/2019
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