Waller Center | |
Reda Bland Evans At O.j. Baker Street Owen Franklin Health Ctr, 2nd Fl., Prairie View A&m Prairie View TX 77446 | |
(936) 857-2726 | |
(936) 857-2725 |
Full Name | Waller Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | Reda Bland Evans At O.j. Baker Street, Prairie View, Texas |
Authorized Official Name and Position | Lynda Bible (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2816333106 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Waller Center 400 Austin St Richmond TX 77469-4406 Ph: (281) 342-4530 | Waller Center Reda Bland Evans At O.j. Baker Street Owen Franklin Health Ctr, 2nd Fl., Prairie View A&m Prairie View TX 77446 Ph: (936) 857-2726 |
NPI Number | 1790850691 |
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Provider Enumeration Date | 11/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790850691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Owens-franklin Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 Reda Bland & Oj Baker St, Prairie View, TX 77446 Phone: 936-261-1410 Fax: 936-261-1452 | |
Owens Franklin Health Center, Prairie View A&m University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Ofhc, Reda Bland Evans @ O. J. Baker Street, Prairie View A&m University, Prairie View, TX 77446 Phone: 936-261-1410 Fax: 936-857-4999 |