Basic Information
| Provider Information | |||||||||
| NPI: | 1164619607 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TRIUMPH HOSPITAL OF N HOUSTON LP | ||||||||
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| OtherOrganizationName: | TRIUMPH HOSPITAL TOMBALL | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7333 NORTH FWY STE 500 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770761322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7138078686 | ||||||||
| FaxNumber: | 7136990788 | ||||||||
| Practice Location | |||||||||
| Address1: | 505 GRAHAM DR | ||||||||
| Address2: | |||||||||
| City: | TOMBALL | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773753368 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812555600 | ||||||||
| FaxNumber: | 2812559479 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2007 | ||||||||
| LastUpdateDate: | 09/28/2007 | ||||||||
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| AuthorizedOfficialLastName: | LANFORD | ||||||||
| AuthorizedOfficialFirstName: | GINGER | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP QUALITY AND COMPLIANCE | ||||||||
| AuthorizedOfficialTelephone: | 7138078686 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | NEW TRIUMPH HEALTHCARE OF TX LLC | ||||||||
| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282E00000X | 007134 | TX | Y | Hospitals | Long Term Care Hospital |
No ID Information.