MEDICARE: COMFORT CARE CLINIC LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1689135485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT CARE CLINIC LLC

Provider Business Mailing Address
First Line	:	15602 ECHO CANYON DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3115
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5373 W ALABAMA ST # 442
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5930
Country	:	US
Telephone Number	:	281-515-4117
Fax Number	:	888-604-9472

Authorized Official
Title or Position	:	CEO
Name	:	JENNY OGADI
Credential	:	RN
Telephone Number	:	713-482-9743

Provider Enumeration Date	:	03/26/2019
Last Update Date	:	10/23/2024

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