| Healthcare For The Homeless-houston | |
|
1934 Caroline St Houston TX 77002-8210 | |
| (713) 286-6125 | |
| Not Available |
| Full Name | Healthcare For The Homeless-houston |
|---|---|
| Speciality | Clinic/Center |
| Location | 1934 Caroline St, Houston, Texas |
| Authorized Official Name and Position | Carlie A. Brown (CEO) |
| Authorized Official Contact | 7132866122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare For The Homeless-houston 1934 Caroline St Houston TX 77002-8210 Ph: (713) 286-6125 | Healthcare For The Homeless-houston 1934 Caroline St Houston TX 77002-8210 Ph: (713) 286-6125 |
| NPI Number | 1720305493 |
|---|---|
| Provider Enumeration Date | 04/21/2010 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 4385614882 |
|---|---|
| Medicare Enrollment ID | O20040730000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720305493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Bernice Joy Blumenreich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720168156 PECOS PAC ID: 3779566625 Enrollment ID: I20040610001522 |
| Provider Name | Dana Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992894364 PECOS PAC ID: 8426029836 Enrollment ID: I20040802000126 |
| Provider Name | Norma S Tejada Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134161748 PECOS PAC ID: 2860449121 Enrollment ID: I20050407001171 |
| Provider Name | Naomi Mccants |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679598957 PECOS PAC ID: 8527064856 Enrollment ID: I20061010000672 |
| Provider Name | Adonica W Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336315183 PECOS PAC ID: 3577624030 Enrollment ID: I20081203000340 |
| Provider Name | Mark A Farnie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578596516 PECOS PAC ID: 0648320663 Enrollment ID: I20090615000126 |
| Provider Name | Ravi K Chundru |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972585032 PECOS PAC ID: 4486664521 Enrollment ID: I20100518000887 |
| Provider Name | Vineeth P John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851305627 PECOS PAC ID: 9830122050 Enrollment ID: I20100722000193 |
| Provider Name | Kendra S Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407256530 PECOS PAC ID: 8820310048 Enrollment ID: I20141125000910 |
| Provider Name | Alyssa M Mcelwany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679915532 PECOS PAC ID: 8921242538 Enrollment ID: I20150912000136 |
| Provider Name | Rachel B Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437491370 PECOS PAC ID: 4981947843 Enrollment ID: I20190515002968 |
| Provider Name | Carl Cuesta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265829378 PECOS PAC ID: 8921331000 Enrollment ID: I20190604002457 |
| Provider Name | Ariana Clemencia Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619331014 PECOS PAC ID: 9739411232 Enrollment ID: I20191104000576 |
| Provider Name | Karthik S Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639527500 PECOS PAC ID: 4284055906 Enrollment ID: I20200605000642 |
| Provider Name | Victoria Mccurry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902161888 PECOS PAC ID: 3072826379 Enrollment ID: I20210524001237 |
| Provider Name | Tracey Butay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265941868 PECOS PAC ID: 9032477112 Enrollment ID: I20210706000819 |
| Provider Name | Samantha Ann Smaile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811635675 PECOS PAC ID: 3870972847 Enrollment ID: I20220622000531 |
| Provider Name | Mudit M Gilotra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902122567 PECOS PAC ID: 6901024090 Enrollment ID: I20220803003447 |
| Provider Name | Mary C Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346521903 PECOS PAC ID: 1557717220 Enrollment ID: I20240613002424 |
| Provider Name | Laura N Fletcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528483500 PECOS PAC ID: 1759824105 Enrollment ID: I20240613003830 |
| Provider Name | Linda Colbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952531402 PECOS PAC ID: 1557804861 Enrollment ID: I20240614001978 |
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