Healthcare Provider Details

I. General information

NPI: 1144439209
Provider Name (Legal Business Name): HARRIS COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 CHIMNEY ROCK RD
HOUSTON TX
77081-4502
US

IV. Provider business mailing address

2525 MURWORTH DR
HOUSTON TX
77054-1603
US

V. Phone/Fax

Practice location:
  • Phone: 713-295-2578
  • Fax: 713-295-2582
Mailing address:
  • Phone: 713-394-4070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080I0007X
TaxonomyPediatric Clinical & Laboratory Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOEL LEVINE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 713-394-4064