# COMMUNITY HEP C CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699227264
- **Authorized official:** DR. LEONARDO A PALAU M.D. (MANAGER)
- **Authorized official phone:** (832) 831-7770

## Contact information

- **Practice address:** 7700 MAIN ST, 400, HOUSTON, TX 77030-4456
- **Practice address phone:** (832) 831-7770
- **Practice address fax:** (713) 661-4828
- **Mailing address:** 7700 MAIN ST, 400, HOUSTON, TX 77030-4456
- **Mailing address phone:** (832) 831-7770
- **Mailing address fax:** (713) 661-4828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | K3377 | TX | Yes |

## Other

- **Enumeration date:** 10/31/2016
- **Last updated:** 10/31/2016