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NPI Code Detail

MEDICARE: COMMUNITY MEDICAL AND MENTAL HEALTH SERVICES INC

MEDICARE: COMMUNITY MEDICAL AND MENTAL HEALTH SERVICES 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
1207QG0300XGeriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1841588431
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY MEDICAL AND MENTAL HEALTH SERVICES INC
Provider Business Mailing Address
First Line : 4846 LAZY TIMBERS DR
Second Line :
City : HUMBLE
State : TX
Zip : 77346-4455
Country : US
Telephone Number : 713-541-0810
Fax Number : 866-924-6348
Provider Business Practice Location Address
First Line : 4846 LAZY TIMBERS DR
Second Line :
City : HUMBLE
State : TX
Zip : 77346-4455
Country : US
Telephone Number : 713-541-0810
Fax Number : 866-924-6348
Authorized Official
Title or Position : ADMINISTRATOR
Name : CHEDRIC L COX
Credential :
Telephone Number : 713-541-0810
Provider Enumeration Date : 07/15/2011
Last Update Date : 07/15/2011

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Directions to “COMMUNITY MEDICAL AND MENTAL HEALTH SERVICES INC ” Practice Location

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