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NPI Code Detail

MEDICARE: HOUSTON COMMUNITY HEALTH CENTERS, INC.

MEDICARE: HOUSTON COMMUNITY HEALTH CENTERS, 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)
21223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1528246360
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON COMMUNITY HEALTH CENTERS, INC.
Provider Business Mailing Address
First Line : 424 HAHLO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-3022
Country : US
Telephone Number : 713-674-3326
Fax Number : 713-674-5100
Provider Business Practice Location Address
First Line : 424 HAHLO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-3022
Country : US
Telephone Number : 713-674-3326
Fax Number : 713-674-5100
Authorized Official
Title or Position : CEO
Name : MR. DANIEL MOISES MONTEZ
Credential :
Telephone Number : 713-343-5450
Provider Enumeration Date : 02/04/2008
Last Update Date : 10/24/2008

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Practice Location Address:
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Directions to “HOUSTON COMMUNITY HEALTH CENTERS, INC. ” Practice Location

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