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NPI Code Detail

MEDICARE: ELNITA MCCLAIN WOMEN'S CENTER

MEDICARE: ELNITA MCCLAIN WOMEN'S CENTER
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1558695973
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELNITA MCCLAIN WOMEN'S CENTER
Provider Business Mailing Address
First Line : PO BOX 88088
Second Line :
City : HOUSTON
State : TX
Zip : 77288-0088
Country : US
Telephone Number : 713-807-8898
Fax Number : 713-807-7175
Provider Business Practice Location Address
First Line : 2223 ARBOR ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-6026
Country : US
Telephone Number : 713-807-8898
Fax Number : 713-807-7175
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : MRS. SHAMRA S HODGE
Credential :
Telephone Number : 713-807-8898
Provider Enumeration Date : 10/01/2009
Last Update Date : 10/01/2009

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Directions to “ELNITA MCCLAIN WOMEN'S CENTER ” Practice Location

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