MEDICARE: HARRIS COUNTY

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	172V00000X	Community Health Worker
2	251K00000X	Public Health or Welfare Agency	0473428	IL
3	261QP0905X	State or Local Public Health Clinic/Center
4	261QA0005X	Ambulatory Family Planning Facility

General Provider Information

NPI Number	:	1396984506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS COUNTY

Provider Business Mailing Address
First Line	:	1111 FANNIN ST FL 16
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-6925
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5815 ANTOINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-4417
Country	:	US
Telephone Number	:	832-927-7350
Fax Number	:

Authorized Official
Title or Position	:	ASSOCIATE DIRECTOR
Name	:	RADIE SAID
Credential	:
Telephone Number	:	832-378-3784

Provider Enumeration Date	:	02/11/2009
Last Update Date	:	02/14/2025

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Directions to “HARRIS COUNTY ” Practice Location

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