MEDICARE: KATIA PANCORVO CHWI

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	172V00000X	Community Health Worker	1375	TX

General Provider Information

NPI Number	:	1295669893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIA PANCORVO CHWI

Provider Business Mailing Address
First Line	:	3204 ENNIS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-3213
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3204 ENNIS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-3213
Country	:	US
Telephone Number	:	832-927-7946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

Similar Medicare Providers

1689639254 — RIVERSIDE GENERAL HOSPITAL
Practice Location Address:

3204 ENNIS STREET
HOUSTON, TX
77004-3213

Practice Phone: 713-526-2441
Practice Fax: 713-526-8754

1316253628 — RIVERSIDE GENERAL HOSPITAL MEDICAL CLINIC
Practice Location Address:

3204 ENNIS ST
HOUSTON, TX
77004-3213

Practice Phone: 713-526-2441
Practice Fax: 713-526-3554

1780088237 — ADVANCED BEHAVIORAL HEALTH CARE SERVICES, INC.
Practice Location Address:

3213 BINZ ST
HOUSTON, TX
77004-7813

Practice Phone: 713-644-8280
Practice Fax: 713-644-2991

1518350297 — POLARIS HEALTH SYSTEM, INC.
Practice Location Address:

3204 ENNIS ST
HOUSTON, TX
77004-3213

Practice Phone: 713-526-2441
Practice Fax: 713-526-3554

1700867231 — DR. DIANA QUINTANA PH.D.
Practice Location Address:

1110 CHAMBOARD LN
HOUSTON, TX
77018-3213

Practice Phone: 713-686-5950
Practice Fax: 713-686-6820

1760638902 — LUCERNE HOME CARE, INC.
Practice Location Address:

1701 FM 1960 RD W STE N
HOUSTON, TX
77090-3213

Practice Phone: 281-587-1475
Practice Fax: 281-587-1518

Directions to “ KATIA PANCORVO CHWI” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.