Legacy Community Health Services, Inc | |
4610 E Crosstimbers St Kipp Dream Prep Academy Houston TX 77016-6337 | |
(713) 636-6082 | |
(713) 523-4897 |
Full Name | Legacy Community Health Services, Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4610 E Crosstimbers St, Houston, Texas |
Authorized Official Name and Position | Katherine Caldwell (EXEC DIRECTOR) |
Authorized Official Contact | 8325485051 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Legacy Community Health Services, Inc Po Box 66308 Houston TX 77266-6308 Ph: (832) 548-5076 | Legacy Community Health Services, Inc 4610 E Crosstimbers St Kipp Dream Prep Academy Houston TX 77016-6337 Ph: (713) 636-6082 |
NPI Number | 1174875470 |
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Provider Enumeration Date | 10/10/2012 |
Last Update Date | 10/10/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174875470 | NPI | - | NPPES |
080462703 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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