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Mdacc — NPI 1538415476, Houston, TX | NPI Central

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NPI 1538415476

OrganizationActive

Mdacc

NPI 1538415476 · Special Hospital · Houston, TX

Provider details

NPI number: 1538415476
Entity type: Organization
Primary specialty: Special HospitalHospitals
Organization subpart: No
Authorized official: Antonio Di Stasi, Fellow(832) 824-1632
License: BP10044596 (TX)

Specialties & taxonomies

Special HospitalPrimary284300000XLicense BP10044596 (TX)
Hospitals

Practice location

1515 Holcombe Blvd

Houston, TX 77030-4000

Phone: (832) 824-1632

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

1515 Holcombe Blvd

Houston, TX 77030-4000

Registry dates

Enumerated: 2012-07-30
Last updated: 2012-07-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.