Hope Clinic - West | |
12121 Westheimer Rd Suite 205 Houston TX 77077-6682 | |
(713) 773-0803 | |
Not Available |
Full Name | Hope Clinic - West |
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Speciality | Clinic/Center |
Location | 12121 Westheimer Rd, Houston, Texas |
Authorized Official Name and Position | Andrea Caracostis (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7137730803 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope Clinic - West 13930 Bellaire Blvd Houston TX 77083 Ph: (713) 773-0803 | Hope Clinic - West 12121 Westheimer Rd Suite 205 Houston TX 77077-6682 Ph: (713) 773-0803 |
NPI Number | 1073935441 |
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Provider Enumeration Date | 01/20/2014 |
Last Update Date | 10/16/2023 |
Medicare PECOS PAC ID | 7214014208 |
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Medicare Enrollment ID | O20141104000456 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073935441 | NPI | - | NPPES |
3348294-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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