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NPI Code Detail

MEDICARE: FORT BEND FAMILY HEALTH CENTER, INC.

MEDICARE: FORT BEND FAMILY 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
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1831050772
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORT BEND FAMILY HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 400 AUSTIN ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-4406
Country : US
Telephone Number : 281-342-4530
Fax Number :
Provider Business Practice Location Address
First Line : 400 AUSTIN ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-4406
Country : US
Telephone Number : 281-342-4530
Fax Number :
Authorized Official
Title or Position : PROGRAM MANAGER
Name : JALISA RANDLE
Credential :
Telephone Number : 281-969-1799
Provider Enumeration Date : 11/20/2025
Last Update Date : 02/17/2026

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Directions to “FORT BEND FAMILY HEALTH CENTER, INC. ” Practice Location

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