Provider Demographics
NPI:1255455200
Name:HARRIS COUNTY PUBLIC HEALTH & ENVIRONMENTAL SERVICES-HUMBLE CLINIC
Entity type:Organization
Organization Name:HARRIS COUNTY PUBLIC HEALTH & ENVIRONMENTAL SERVICES-HUMBLE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:UMAIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:713-439-6184
Mailing Address - Street 1:1730 HUMBLE PLACE DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5275
Mailing Address - Country:US
Mailing Address - Phone:281-446-4222
Mailing Address - Fax:
Practice Address - Street 1:1730 HUMBLE PLACE DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5275
Practice Address - Country:US
Practice Address - Phone:281-446-4222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARRIS COUNTY PUBLIC HEALTH & ENVIRONMENTAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-16
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029227801Medicaid
TX017632301Medicaid
TX018973001Medicaid