Organization
AVICENNA HOSPITAL - SPRING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS MATLACK III FACHE (PRESIDENT)
(419) 577-8983
Entity
Organization
Contact information
Practice address
20635 KUYKENDAHL RD, SPRING, TX 77379-3533
(281) 317-1118
Mailing address
1601 HIGHWAY 13 E STE 255, BURNSVILLE, MN 55337-6865
(281) 317-1118
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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