Provider Demographics
NPI:1144378407
Name:COALITION FOR BARRIER FREE LIVING
Entity Type:Organization
Organization Name:COALITION FOR BARRIER FREE LIVING
Other - Org Name:HOUSTON CENTER FOR INDEPENDENT LIVING
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-974-4621
Mailing Address - Street 1:6201 BONHOMME RD
Mailing Address - Street 2:150 SOUTH
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4365
Mailing Address - Country:US
Mailing Address - Phone:713-974-4621
Mailing Address - Fax:713-974-6927
Practice Address - Street 1:6201 BONHOMME RD
Practice Address - Street 2:150 SOUTH
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4365
Practice Address - Country:US
Practice Address - Phone:713-974-4621
Practice Address - Fax:713-974-6927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center