MEDICARE: HEALTHCARE FOR THE HOMELESS-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	207Q00000X	Family Medicine Physician
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1497018261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE FOR THE HOMELESS-HOUSTON

Provider Business Mailing Address
First Line	:	1934 CAROLINE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8210
Country	:	US
Telephone Number	:	713-286-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 PRAIRIE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-2008
Country	:	US
Telephone Number	:	713-220-9730
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CARLIE A. BROWN
Credential	:
Telephone Number	:	713-286-6122

Provider Enumeration Date	:	06/18/2012
Last Update Date	:	02/18/2026

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