MEDICARE: ADVANCED HEALTH CENTER 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1770768285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEALTH CENTER INC

Provider Business Mailing Address
First Line	:	8300 BISSONNET ST STE 115
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-3911
Country	:	US
Telephone Number	:	713-539-2349
Fax Number	:	713-785-1819

Provider Business Practice Location Address
First Line	:	8300 BISSONNET ST STE 115
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-3911
Country	:	US
Telephone Number	:	713-539-2349
Fax Number	:	713-785-1819

Authorized Official
Title or Position	:	CEO
Name	:	MRS. COMFORT M. OJI
Credential	:
Telephone Number	:	713-539-2349

Provider Enumeration Date	:	01/03/2008
Last Update Date	:	07/29/2010

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Directions to “ADVANCED HEALTH CENTER INC ” Practice Location

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