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General NPI Number Information
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NPI Number | 1093780280
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Entity Type | Organization
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Legal Business Name | HOUSTON COMMUNITY HEALTH CENTERS INC
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 424B HAHLO STREET
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City | HOUSTON
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State | TX
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Zip | 77020
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Country | US
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Telephone | 713-674-3326
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Fax | 713-674-5100
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Provider Business Mailing Address
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Address Line | 424 HAHLO ST
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City | HOUSTON
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State | TX
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Zip | 77020-3022
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Country | US
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Telephone | 713-674-3326
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Fax | 713-674-5100
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Authorized Official
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Title or Position | CEO
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Name | MR. DANIEL MOISES MONTEZ
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Credential |
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Telephone | 713-674-3326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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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 | 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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