MEDICARE: CITY OF HOUSTON

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
1	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45D0660081	OTHER	TX	CLIA

General Provider Information

NPI Number	:	1013280817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF HOUSTON

Provider Business Mailing Address
First Line	:	PO BOX 88361
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77288-0361
Country	:	US
Telephone Number	:	832-393-4929
Fax Number	:	832-393-5255

Provider Business Practice Location Address
First Line	:	8000 N STADIUM DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1823
Country	:	US
Telephone Number	:	832-393-4929
Fax Number	:	832-393-5255

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. THERESA TRAN CARAPUCCI
Credential	:	MD
Telephone Number	:	832-393-4851

Provider Enumeration Date	:	02/10/2012
Last Update Date	:	08/12/2025

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Directions to “CITY OF HOUSTON ” Practice Location

Language	Start Address	Practice Location

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