Provider Demographics
NPI:1174521249
Name:CITY OF SOUTH HOUSTON
Entity type:Organization
Organization Name:CITY OF SOUTH HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-947-7700
Mailing Address - Street 1:1018 DALLAS
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77587-4012
Mailing Address - Country:US
Mailing Address - Phone:713-947-7700
Mailing Address - Fax:713-910-0495
Practice Address - Street 1:506 GEORGIA
Practice Address - Street 2:
Practice Address - City:SOUTH HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77587-4012
Practice Address - Country:US
Practice Address - Phone:713-941-8500
Practice Address - Fax:713-910-5832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000559701Medicaid
TX517875Medicare ID - Type Unspecified