Provider Demographics
NPI:1801521075
Name:MATERNAL AND CHILD HEALTHCARE AND RESEARCH CENTER
Entity type:Organization
Organization Name:MATERNAL AND CHILD HEALTHCARE AND RESEARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:CMP
Authorized Official - Phone:832-260-9712
Mailing Address - Street 1:14030 TELGE RD STE A
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6201
Mailing Address - Country:US
Mailing Address - Phone:832-260-9712
Mailing Address - Fax:832-550-2263
Practice Address - Street 1:14030 TELGE RD STE A
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6201
Practice Address - Country:US
Practice Address - Phone:832-260-9712
Practice Address - Fax:832-550-2263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty