Provider Demographics
NPI:1447422472
Name:THE CLINIC COMPANY
Entity Type:Organization
Organization Name:THE CLINIC COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARISMA
Authorized Official - Middle Name:DANYELL
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-759-6868
Mailing Address - Street 1:PO BOX 421472
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-1472
Mailing Address - Country:US
Mailing Address - Phone:281-759-6868
Mailing Address - Fax:
Practice Address - Street 1:2500 WOODLAND PARK DR
Practice Address - Street 2:C204
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2271
Practice Address - Country:US
Practice Address - Phone:281-759-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care