Provider Demographics
NPI:1831480227
Name:ELNITA MCCLAIN WOMEN'S CENTER, INC
Entity Type:Organization
Organization Name:ELNITA MCCLAIN WOMEN'S CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAMRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-807-8898
Mailing Address - Street 1:PO BOX 88088
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77288-0088
Mailing Address - Country:US
Mailing Address - Phone:713-807-8898
Mailing Address - Fax:713-807-7175
Practice Address - Street 1:2223 ARBOR ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6026
Practice Address - Country:US
Practice Address - Phone:713-807-8898
Practice Address - Fax:713-807-7175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52920251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX211197301Medicaid