| Denver Harbor Medical Clinic | |
|
424b Hahlo Street Houston TX 77020 | |
| (713) 674-3326 | |
| (713) 674-5100 |
| Full Name | Denver Harbor Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 424b Hahlo Street, Houston, Texas |
| Authorized Official Name and Position | Daniel Moises Montez (CEO) |
| Authorized Official Contact | 7136743326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denver Harbor Medical Clinic 424 Hahlo St Houston TX 77020-3022 Ph: (713) 674-3326 | Denver Harbor Medical Clinic 424b Hahlo Street Houston TX 77020 Ph: (713) 674-3326 |
| NPI Number | 1093780280 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 06/08/2009 |
| Medicare PECOS PAC ID | 8224940028 |
|---|---|
| Medicare Enrollment ID | O20060208000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093780280 | NPI | - | NPPES |
| 148477604 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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