Provider Demographics
NPI:1629469820
Name:COMMUNITY CARE MANAGEMENT PARTNERS IN HEALTH PLLC
Entity Type:Organization
Organization Name:COMMUNITY CARE MANAGEMENT PARTNERS IN HEALTH PLLC
Other - Org Name:CCM PARTNERS IN HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, MS, APRN
Authorized Official - Phone:713-385-7809
Mailing Address - Street 1:PO BOX 11358
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77293-1358
Mailing Address - Country:US
Mailing Address - Phone:713-376-4353
Mailing Address - Fax:281-324-6928
Practice Address - Street 1:28612 IDLELOCH DR
Practice Address - Street 2:
Practice Address - City:HUFFMAN
Practice Address - State:TX
Practice Address - Zip Code:77336-3650
Practice Address - Country:US
Practice Address - Phone:713-376-4353
Practice Address - Fax:281-324-6928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP110781251B00000X, 261QC1500X, 261QC1800X, 261QH0100X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251B00000XAgenciesCase Management
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care