MEDICARE: COLOSSAL MUSEUM

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	373H00000X	Day Training/Habilitation Specialist
3	103K00000X	Behavior Analyst
4	172V00000X	Community Health Worker
5	172A00000X	Driver
6	102L00000X	Psychoanalyst
7	1041C0700X	Clinical Social Worker
8	175T00000X	Peer Specialist
9	251C00000X	Developmentally Disabled Services Day Training Agency
10	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1487512364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLOSSAL MUSEUM

Provider Business Mailing Address
First Line	:	1502 DURHAM DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-3470
Country	:	US
Telephone Number	:	832-656-7720
Fax Number	:

Provider Business Practice Location Address
First Line	:	1502 DURHAM DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-3470
Country	:	US
Telephone Number	:	832-656-7725
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SHAMEKA FORD
Credential	:
Telephone Number	:	832-656-7720

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/20/2026

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Directions to “COLOSSAL MUSEUM ” Practice Location

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