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	341600000X	Ambulance	800184	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912089806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY HEALTH CARE INC

Provider Business Mailing Address
First Line	:	6201 BONHOMME RD
Second Line	:	312N
City	:	HOUSTON
State	:	TX
Zip	:	77036-4365
Country	:	US
Telephone Number	:	713-884-9419
Fax Number	:	713-669-1091

Provider Business Practice Location Address
First Line	:	6201 BONHOMME RD
Second Line	:	312N
City	:	HOUSTON
State	:	TX
Zip	:	77036-4365
Country	:	US
Telephone Number	:	713-884-9419
Fax Number	:	713-669-1091

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES MCFRED
Credential	:
Telephone Number	:	713-884-9419

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	09/02/2010

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Directions to “CITY HEALTH CARE INC ” Practice Location

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