Provider Demographics
NPI:1598223505
Name:FORTBEND & HARRIS HEALTHCARE INC
Entity Type:Organization
Organization Name:FORTBEND & HARRIS HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-727-9434
Mailing Address - Street 1:23610 ESPERIA ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1415
Mailing Address - Country:US
Mailing Address - Phone:773-727-9434
Mailing Address - Fax:281-206-7914
Practice Address - Street 1:23610 ESPERIA ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1415
Practice Address - Country:US
Practice Address - Phone:773-727-9434
Practice Address - Fax:281-206-7914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health