MEDICARE: HOUSTON AREA COMMUNITY SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RI0200X	Infectious Disease Physician
2	2080A0000X	Pediatric Adolescent Medicine Physician
3	2084P0800X	Psychiatry Physician
4	261QM1300X	Multi-Specialty Clinic/Center
5	101YM0800X	Mental Health Counselor
6	207Q00000X	Family Medicine Physician
7	363LF0000X	Family Nurse Practitioner
8	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053539262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON AREA COMMUNITY SERVICES, INC.

Provider Business Mailing Address
First Line	:	2150 W 18TH ST STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1289
Country	:	US
Telephone Number	:	713-426-0027
Fax Number	:	832-209-7186

Provider Business Practice Location Address
First Line	:	2150 W 18TH ST SUITE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-5200
Country	:	US
Telephone Number	:	713-426-0027
Fax Number	:	832-209-7186

Authorized Official
Title or Position	:	REVENUE CYCLE DIRECTOR
Name	:	TEQUILA HENDERSON
Credential	:
Telephone Number	:	713-426-0027

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	10/30/2024

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Directions to “HOUSTON AREA COMMUNITY SERVICES, INC. ” Practice Location

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