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NPI Code Detail

MEDICARE: ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, INC.

MEDICARE: ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, INC.
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1357ROTHERTXSTATE LICENSE

General Provider Information

NPI Number : 1609910918
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, INC.
Provider Business Mailing Address
First Line : 204 CLIFTON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77011-3314
Country : US
Telephone Number : 713-926-9491
Fax Number : 713-926-2672
Provider Business Practice Location Address
First Line : 6001 GULF FWY
Second Line : BLDG C1
City : HOUSTON
State : TX
Zip : 77023-5423
Country : US
Telephone Number : 713-928-6726
Fax Number : 713-928-5401
Authorized Official
Title or Position : COUNSELOR
Name : LANA K GARCIA
Credential : LCDC
Telephone Number : 713-926-9491
Provider Enumeration Date : 02/19/2007
Last Update Date : 09/25/2020

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Directions to “ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, INC. ” Practice Location

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