MEDICARE: HTOWN MENTAL HEALTH CENTER

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	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1912602434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HTOWN MENTAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	4444 WESTHEIMER RD APT 514A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-4862
Country	:	US
Telephone Number	:	713-851-1548
Fax Number	:	832-831-8071

Provider Business Practice Location Address
First Line	:	4444 WESTHEIMER RD APT 514A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-4862
Country	:	US
Telephone Number	:	713-851-1548
Fax Number	:	832-831-8071

Authorized Official
Title or Position	:	TREASURER
Name	:	CHRISTOPHER MICHAEL MUNOZ
Credential	:
Telephone Number	:	713-851-1548

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/03/2023

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