Fourth Ward Clinic
Clinic/Center, Federally Qualified Health Center (FQHC) in Houston, TX. Organization (NPI-2).
NPI number1730472002
StatusActive
Last updated in NPPESMay 19, 2011
Details
- NPI
- 1730472002
- Entity type
- Organization (NPI-2)
- Legal business name
- Fourth Ward Clinic
- Organization subpart
- Yes
- Enumeration date
- May 19, 2011
- Last updated
- May 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | TX | Yes |
| 261Q00000X | Clinic/Center | – | TX |
Other names
- Good Neighbor Healthcare Center (Doing Business As)
Practice location
8504 Schuller RdHouston, TX 77093
Phone 713-387-7171 · Fax 713-387-7189
Mailing address
190 Heights BlvdHouston, TX 77007
Phone 713-529-3597 · Fax 713-529-9169
Authorized official
Janet S. Donath
Executive Director
7135293597
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