Provider Demographics
NPI:1780312736
Name:LIFEGIFT ORGAN DONATION CENTER
Entity type:Organization
Organization Name:LIFEGIFT ORGAN DONATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR EXECUTIVE VP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-380-0041
Mailing Address - Street 1:2510 WESTRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1508
Mailing Address - Country:US
Mailing Address - Phone:713-523-4438
Mailing Address - Fax:
Practice Address - Street 1:2510 WESTRIDGE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1508
Practice Address - Country:US
Practice Address - Phone:713-523-4438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335U00000XSuppliersOrgan Procurement Organization