Provider Demographics
NPI:1700162666
Name:C AND H FAMILY CLINIC LLC
Entity Type:Organization
Organization Name:C AND H FAMILY CLINIC LLC
Other - Org Name:C&H FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:281-770-3173
Mailing Address - Street 1:6175 WILCREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-1449
Mailing Address - Country:US
Mailing Address - Phone:281-498-6000
Mailing Address - Fax:281-498-6004
Practice Address - Street 1:6175 WILCREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-1449
Practice Address - Country:US
Practice Address - Phone:281-498-6000
Practice Address - Fax:281-498-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service