Provider Demographics
NPI:1730187568
Name:TEXAS CYPRESS CREEK HOSPITAL LP
Entity type:Organization
Organization Name:TEXAS CYPRESS CREEK HOSPITAL LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SRVP CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:PO BOX 841088
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-1088
Mailing Address - Country:US
Mailing Address - Phone:281-586-7600
Mailing Address - Fax:281-586-5952
Practice Address - Street 1:17750 CALI DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2705
Practice Address - Country:US
Practice Address - Phone:281-586-7600
Practice Address - Fax:281-586-5952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000744283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
000744OtherTX DEPT OF HEALTH LICENSE
TX021203701Medicaid
TX021203701Medicaid
TX454108Medicare PIN