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NPI Code Detail

MEDICARE: EL CENTRO DE CORAZON

MEDICARE: EL CENTRO DE CORAZON
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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1730151465
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL CENTRO DE CORAZON
Provider Business Mailing Address
First Line : 5001 NAVIGATION BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77011-1019
Country : US
Telephone Number : 713-926-1849
Fax Number : 713-926-9244
Provider Business Practice Location Address
First Line : 2805 GARROW ST
Second Line :
City : HOUSTON
State : TX
Zip : 77003-2323
Country : US
Telephone Number : 713-227-5160
Fax Number : 713-227-9408
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. MARY JO MAY
Credential :
Telephone Number : 713-926-1849
Provider Enumeration Date : 02/06/2006
Last Update Date : 08/22/2020

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Directions to “EL CENTRO DE CORAZON ” Practice Location

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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.