Organization
SPRING BRANCH COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEN J. TRUJILLO (CHIEF EXECUTIVE OFFICER)
(713) 462-6565
Entity
Organization
Contact information
Practice address
1615 HLLLENDAHL BOULEVARD, SUITE 100, HOUSTON, TX 77055-3402
(713) 462-6565
(713) 462-6596
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
—
—
251B00000X
Case Management Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165254702
—
TX
Enumeration date
08/13/2006
Last updated
09/11/2024
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