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NPI Code Detail

MEDICARE: CHCA BAYSHORE, L.P.

MEDICARE: CHCA BAYSHORE, L.P.
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1649101726
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHCA BAYSHORE, L.P.
Provider Business Mailing Address
First Line : 148 FAIRMONT PKWY
Second Line :
City : PASADENA
State : TX
Zip : 77504-2740
Country : US
Telephone Number : 615-344-9551
Fax Number :
Provider Business Practice Location Address
First Line : 148 FAIRMONT PKWY
Second Line :
City : PASADENA
State : TX
Zip : 77504-2740
Country : US
Telephone Number : 615-344-9551
Fax Number :
Authorized Official
Title or Position : CEO
Name : YASMENE MCDANIEL
Credential :
Telephone Number : 713-359-1069
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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