MEDICARE: RHEUMATOLOGY CENTER OF HOUSTON, PLLC

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	207RR0500X	Rheumatology Physician	M2179	TX

General Provider Information

NPI Number	:	1568769248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHEUMATOLOGY CENTER OF HOUSTON, PLLC

Provider Business Mailing Address
First Line	:	2204 AUSTIN ST STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8912
Country	:	US
Telephone Number	:	713-640-5477
Fax Number	:	713-640-5872

Provider Business Practice Location Address
First Line	:	2204 AUSTIN ST STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8912
Country	:	US
Telephone Number	:	713-640-5477
Fax Number	:	712-640-5872

Authorized Official
Title or Position	:	AGENT
Name	:	JACQUELINE VO
Credential	:	MD
Telephone Number	:	713-640-5477

Provider Enumeration Date	:	02/16/2011
Last Update Date	:	03/16/2025

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