Healthcare Provider Details

I. General information

NPI: 1275198509
Provider Name (Legal Business Name): ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2019
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ALDINE MAIL ROUTE RD, BUILDING C, STE 200
HOUSTON TX
77039
US

IV. Provider business mailing address

7001 CORPORATE DR STE 120
HOUSTON TX
77036-5113
US

V. Phone/Fax

Practice location:
  • Phone: 713-773-0803
  • Fax:
Mailing address:
  • Phone: 713-773-0803
  • Fax: 713-275-0951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: ANDREA CARACOSTIS
Title or Position: CEO
Credential:
Phone: 713-773-0803