Provider Demographics
NPI:1972720027
Name:HOUSTON NURSING & REHABILIATION
Entity type:Organization
Organization Name:HOUSTON NURSING & REHABILIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-631-0200
Mailing Address - Street 1:4225 DENMARK ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-6801
Mailing Address - Country:US
Mailing Address - Phone:713-631-0200
Mailing Address - Fax:713-635-4801
Practice Address - Street 1:4225 DENMARK ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-6801
Practice Address - Country:US
Practice Address - Phone:713-631-0200
Practice Address - Fax:713-635-4801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1750473047103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB26047Medicare UPIN
TXB23183Medicare UPIN
TXU26439Medicare UPIN