| Hope Clinic | |
|
2112 Aldine Meadows Rd Houston TX 77032-3102 | |
| (713) 773-0803 | |
| Not Available |
| Full Name | Hope Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2112 Aldine Meadows Rd, Houston, Texas |
| Authorized Official Name and Position | Jimmy D Mai (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7133337273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Clinic 7001 Corporate Dr Ste 120 Houston TX 77036-5113 Ph: () - | Hope Clinic 2112 Aldine Meadows Rd Houston TX 77032-3102 Ph: (713) 773-0803 |
| NPI Number | 1972239341 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 04/17/2024 |
| Medicare PECOS PAC ID | 7214014208 |
|---|---|
| Medicare Enrollment ID | O20221111000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972239341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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