MEDICARE: HEALTH CONSULTANTS OF HOUSTON PROFESSIONAL ASSOCIATION

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	261QM0850X	Adult Mental Health Clinic/Center	P0157	TX

General Provider Information

NPI Number	:	1669916698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CONSULTANTS OF HOUSTON PROFESSIONAL ASSOCIATION

Provider Business Mailing Address
First Line	:	314 W SAM HOUSTON PKWY N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-4735
Country	:	US
Telephone Number	:	932-917-6119
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 W SAM HOUSTON PKWY N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-4735
Country	:	US
Telephone Number	:	932-917-6119
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MIN ZHONG
Credential	:	M.D.
Telephone Number	:	832-917-6119

Provider Enumeration Date	:	12/09/2016
Last Update Date	:	12/09/2016

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