MEDICARE: CLOVER FAMILY CLINIC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1235079179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLOVER FAMILY CLINIC

Provider Business Mailing Address
First Line	:	8035 W AIRPORT BLVD STE 119
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3068
Country	:	US
Telephone Number	:	346-502-3406
Fax Number	:

Provider Business Practice Location Address
First Line	:	8035 W AIRPORT BLVD STE 119
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3068
Country	:	US
Telephone Number	:	346-502-3406
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	CHIDI ANGELA OBI
Credential	:
Telephone Number	:	346-502-3406

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Directions to “CLOVER FAMILY CLINIC ” Practice Location

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