Provider Demographics
NPI:1447385455
Name:CITY OF HOUSTON
Entity Type:Organization
Organization Name:CITY OF HOUSTON
Other - Org Name:CITY OF HOUSTON HEALTH AND HUMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-393-4851
Mailing Address - Street 1:PO BOX 88361
Mailing Address - Street 2:CITY OF HOUSTON HEALTH & HUMAN SERVICES
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77288-8861
Mailing Address - Country:US
Mailing Address - Phone:713-794-9104
Mailing Address - Fax:713-798-0803
Practice Address - Street 1:8000 N STADIUM DR 7TH FLOOR
Practice Address - Street 2:CITY OF HOUSTON HEALTH & HUMAN SERVICES
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:713-794-9104
Practice Address - Fax:713-798-0803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136358203OtherTMHP