Organization
HUMBLE SURGICAL HOSPITAL, LLC
Active
Other names
Humble Surgical Hospital, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW OKORO (DIRECTOR OF PHARMACY)
(832) 865-0795
Entity
Organization
Contact information
Practice address
1475 FM 1960 BYPASS RD E, HUMBLE, TX 77338-3909
(832) 865-0795
(281) 964-2195
Mailing address
1475 FM 1960 BYPASS RD E, HUMBLE, TX 77338-3909
(832) 865-0795
(281) 964-2195
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
27035
TX
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166649
PK
—
Enumeration date
12/09/2016
Last updated
12/09/2016
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