MEDICARE: CITY HEALTH CARE 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	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1770693418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY HEALTH CARE INC

Provider Business Mailing Address
First Line	:	10101 FONDREN RD STE 244
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4843
Country	:	US
Telephone Number	:	713-271-8400
Fax Number	:	713-271-8405

Provider Business Practice Location Address
First Line	:	10101 FONDREN RD STE 244
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4843
Country	:	US
Telephone Number	:	713-271-8400
Fax Number	:	713-271-8405

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JAMES OBIOMA MCFRED
Credential	:
Telephone Number	:	713-884-9419

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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