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General NPI Number Information
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NPI Number | 1053539262
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Entity Type | Organization
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Legal Business Name | HOUSTON AREA COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 2150 W 18TH ST SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77008-5200
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Country | US
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Telephone | 713-426-0027
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Fax | 832-209-7186
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Provider Business Mailing Address
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Address Line | 2150 W 18TH ST STE 300
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City | HOUSTON
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State | TX
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Zip | 77008-1289
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Country | US
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Telephone | 713-426-0027
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Fax | 832-209-7186
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | TEQUILA HENDERSON
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Credential |
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Telephone | 713-426-0027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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