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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
11223S0112XOral and Maxillofacial Surgery (Dentist)
2172V00000XCommunity Health Worker
32084P0800XPsychiatry Physician
4261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932171667
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL CENTRO DE CORAZON
Provider Business Mailing Address
First Line : P.O. BOX 230209
Second Line :
City : HOUSTON
State : TX
Zip : 77223
Country : US
Telephone Number : 713-660-1880
Fax Number : 713-926-9105
Provider Business Practice Location Address
First Line : 412 TELEPHONE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77023-1840
Country : US
Telephone Number : 713-660-1880
Fax Number : 713-926-9105
Authorized Official
Title or Position : REVENUE CYCLE MANAGER
Name : TORSHALLE NICHOLE SMITH
Credential :
Telephone Number : 346-772-3944
Provider Enumeration Date : 02/06/2006
Last Update Date : 05/15/2025

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Directions to “EL CENTRO DE CORAZON ” Practice Location

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