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NPI Code Detail

MEDICARE: FORT BEND FAMILY HEALTH CENTER, INC

MEDICARE: FORT BEND FAMILY HEALTH CENTER, INC
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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1447106430
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORT BEND FAMILY HEALTH CENTER, INC
Provider Business Mailing Address
First Line : 5525 HOBBY RD BLDG C
Second Line :
City : HOUSTON
State : TX
Zip : 77053-1800
Country : US
Telephone Number : 281-342-4530
Fax Number :
Provider Business Practice Location Address
First Line : 400 AUSTIN ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-4406
Country : US
Telephone Number : 281-342-4530
Fax Number :
Authorized Official
Title or Position : PROGRAM MANAGER
Name : JALISA RANDLE
Credential :
Telephone Number : 281-969-1799
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “FORT BEND FAMILY HEALTH CENTER, INC ” Practice Location

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