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General NPI Number Information
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NPI Number | 1730078874
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Entity Type | Organization
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Legal Business Name | HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1323 E FRANKLIN ST STE 100
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City | HILLSBORO
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State | TX
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Zip | 76645-2679
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Country | US
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Telephone | 254-313-4090
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Fax | 254-312-6104
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Provider Business Mailing Address
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Address Line | 1323 E FRANKLIN ST STE 100
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City | HILLSBORO
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State | TX
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Zip | 76645-2679
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Country | US
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Telephone | 254-313-4090
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Fax | 254-312-6104
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MATTHEW POLK
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Credential |
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Telephone | 254-313-4412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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