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NPI Code Detail

MEDICARE: TEXANA CENTER

MEDICARE: TEXANA 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
1261QM1300XMulti-Specialty Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1932203684
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXANA CENTER
Provider Business Mailing Address
First Line : 4910 AIRPORT AVE BLDG D
Second Line : BLDG D
City : ROSENBERG
State : TX
Zip : 77471
Country : US
Telephone Number : 281-239-1369
Fax Number : 281-239-0828
Provider Business Practice Location Address
First Line : 4910 AIRPORT AVE BLDG D
Second Line :
City : ROSENBERG
State : TX
Zip : 77471-5759
Country : US
Telephone Number : 281-239-1369
Fax Number : 281-239-0828
Authorized Official
Title or Position : CFO
Name : AMANDA A DARR
Credential :
Telephone Number : 281-239-1350
Provider Enumeration Date : 09/12/2006
Last Update Date : 08/03/2018

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Directions to “TEXANA CENTER ” Practice Location

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