Organization
SPRING BRANCH COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEN J TUJILLO MBA (CHIEF EXECUTIVE OFFICER)
(713) 462-6565
Entity
Organization
Contact information
Practice address
1905 JACQUELYN DR # 101, HOUSTON, TX 77055-2502
(713) 462-6565
(713) 732-9665
Mailing address
5502 1ST ST, KATY, TX 77493-2472
(713) 462-6565
(832) 831-5369
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
208000000X
Pediatrics Physician
—
—
251B00000X
Case Management Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
10/07/2015
Last updated
06/20/2025
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