Provider Demographics
NPI:1821359381
Name:CITY OF HOUSTON
Entity Type:Organization
Organization Name:CITY OF HOUSTON
Other - Org Name:HEALTH & HUMAN SERV. THIRD WARD MSC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASST. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-393-4929
Mailing Address - Street 1:8000 N STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1823
Mailing Address - Country:US
Mailing Address - Phone:832-393-4929
Mailing Address - Fax:
Practice Address - Street 1:3611 ENNIS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-4407
Practice Address - Country:US
Practice Address - Phone:713-527-4005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare