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NPI Code Detail

MEDICARE: EL CENTRO DE CORAZON

MEDICARE: EL CENTRO DE CORAZON
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
1251S00000XCommunity/Behavioral Health Agency51712TX

General Provider Information

NPI Number : 1649532037
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL CENTRO DE CORAZON
Provider Business Mailing Address
First Line : PO BOX 230209
Second Line :
City : HOUSTON
State : TX
Zip : 77223-0209
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7635 CANAL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77012-1143
Country : US
Telephone Number : 713-660-1880
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MARY J. MAY
Credential :
Telephone Number : 713-660-1880
Provider Enumeration Date : 06/12/2012
Last Update Date : 06/12/2012

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Directions to “EL CENTRO DE CORAZON ” Practice Location

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