| Ut Physicians Chosen Clinic | |
|
6410 Fannin St 720 Houston TX 77030-3000 | |
| (832) 325-7298 | |
| Not Available |
| Full Name | Ut Physicians Chosen Clinic |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 6410 Fannin St, Houston, Texas |
| Authorized Official Name and Position | Andrew R Casas (VICE PRESIDENT) |
| Authorized Official Contact | 8323257317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ut Physicians Chosen Clinic Po Box 301173 Dallas TX 75303-1173 Ph: (713) 500-3500 | Ut Physicians Chosen Clinic 6410 Fannin St 720 Houston TX 77030-3000 Ph: (832) 325-7298 |
| NPI Number | 1093868630 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 12/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093868630 | NPI | - | NPPES |
| 181590401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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