Legacy Community Health Services, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Houston, TX. Organization (NPI-2).
NPI number1174875470
StatusActive
Last updated in NPPESOct 10, 2012
Details
- NPI
- 1174875470
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy Community Health Services, INC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2012
- Last updated
- Oct 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
4610 E Crosstimbers StKipp Dream Prep Academy
Houston, TX 77016-6337
Phone 713-636-6082 · Fax 713-523-4897
Mailing address
Po Box 66308Houston, TX 77266-6308
Phone 832-548-5076 · Fax 713-523-4897
Authorized official
Katherine Caldwell
Exec Director
8325485051
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