Organization
EL CENTRO DE CORAZON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCELLE ELIZABETH MIR MSW (CEO)
(713) 660-1880
Entity
Organization
Contact information
Practice address
7635 CANAL ST., HOUSTON, TX 77012-1143
(713) 660-1880
(713) 926-9105
Mailing address
P.O. BOX 230209, HOUSTON, TX 77223
(713) 660-1880
(713) 926-9105
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
172V00000X
Community Health Worker
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
12/13/2024
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