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NPI Code Detail

MEDICARE: SPRING BRANCH COMMUNITY HEALTH CENTER

MEDICARE: SPRING BRANCH COMMUNITY HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1003628140
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRING BRANCH COMMUNITY HEALTH CENTER
Provider Business Mailing Address
First Line : 5502 1ST ST
Second Line :
City : KATY
State : TX
Zip : 77493-2472
Country : US
Telephone Number : 713-462-6565
Fax Number :
Provider Business Practice Location Address
First Line : 19333 CLAY RD
Second Line :
City : KATY
State : TX
Zip : 77449-4001
Country : US
Telephone Number : 832-974-4247
Fax Number : 281-206-7113
Authorized Official
Title or Position : BILLING MANAGER
Name : EVELYN CORNIELLE
Credential :
Telephone Number : 713-462-6565
Provider Enumeration Date : 01/24/2025
Last Update Date : 06/16/2026

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Directions to “SPRING BRANCH COMMUNITY HEALTH CENTER ” Practice Location

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