Healthcare Provider Details

I. General information

NPI: 1699810309
Provider Name (Legal Business Name): CITY OF HOUSTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 N STADIUM DR FL 6
HOUSTON TX
77054-1823
US

IV. Provider business mailing address

8000 N STADIUM DR FL 6
HOUSTON TX
77054-1823
US

V. Phone/Fax

Practice location:
  • Phone: 832-393-4851
  • Fax:
Mailing address:
  • Phone: 832-393-4851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MRS. THERESA TRAN CARAPUCCI
Title or Position: DIRECTOR
Credential: MD
Phone: 832-393-4851