MEDICARE: HCS CENTER OF TEXAS, 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
1	305R00000X	Preferred Provider Organization

General Provider Information

NPI Number	:	1528354701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HCS CENTER OF TEXAS, INC.

Provider Business Mailing Address
First Line	:	12702 SANDHURST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77048-4138
Country	:	US
Telephone Number	:	832-858-1245
Fax Number	:	281-888-4209

Provider Business Practice Location Address
First Line	:	12702 SANDHURST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77048-4138
Country	:	US
Telephone Number	:	832-858-1245
Fax Number	:	281-888-4209

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	ALYCIA ELAINE FRAZIER
Credential	:
Telephone Number	:	832-858-1245

Provider Enumeration Date	:	06/25/2011
Last Update Date	:	06/25/2011

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