Basic Information
| Provider Information | |||||||||
| NPI: | 1528603115 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RIVER OAKS HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1911 BAGBY ST | ||||||||
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| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770028594 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 4200 TWELVE OAKS DR | ||||||||
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| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770276812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7139807900 | ||||||||
| FaxNumber: | 7133834446 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2019 | ||||||||
| LastUpdateDate: | 11/07/2019 | ||||||||
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| AuthorizedOfficialLastName: | GUIDRY | ||||||||
| AuthorizedOfficialFirstName: | LANISA | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP REVENUE CYCLE MANAGEMENT | ||||||||
| AuthorizedOfficialTelephone: | 7137951107 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | AD HOSPITAL EAST, LLC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.