MEDICARE: A PLACE TO STAND CORPORATION

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1801269865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLACE TO STAND CORPORATION

Provider Business Mailing Address
First Line	:	9896 BISSONNET ST STE 1189896
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8104
Country	:	US
Telephone Number	:	713-505-9166
Fax Number	:	713-969-4841

Provider Business Practice Location Address
First Line	:	9896 BISSONNET ST STE 118
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8151
Country	:	US
Telephone Number	:	713-505-9166
Fax Number	:	713-969-4841

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ELAINE SHANKS
Credential	:
Telephone Number	:	713-505-9166

Provider Enumeration Date	:	11/12/2015
Last Update Date	:	03/31/2025

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Directions to “A PLACE TO STAND CORPORATION ” Practice Location

Language	Start Address	Practice Location

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