MEDICARE: CHCA BAYSHORE LP

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	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1982543195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHCA BAYSHORE LP

Provider Business Mailing Address
First Line	:	6002 FAIRMONT PKWY
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-4041
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6002 FAIRMONT PKWY
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-4041
Country	:	US
Telephone Number	:	713-359-4949
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	YASMENE MCDANIEL
Credential	:
Telephone Number	:	713-359-1069

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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