Organization Name: | FORT BEND COUNTY CLINICAL HEALTH SERVICES |
NPI Number: | 1205923687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY DRAKE (DIRECTOR) |
Mailing Address: | 4520 Reading Rd Ste A Rosenberg |
State: | TX US |
Postal Code: | 774712133 |
Phone Number: | 2813426414 |
Fax Number: | 2813427371 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 09/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | G1886 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |