Organization
FOURTH WARD CLINIC
Active
Other names
Good Neighbor Healthcare Center Cy-Fair
Organization subpart
No
Provider details
NPI number
Authorized official
ANN THIELKE (CHIEF EXECUTIVE OFFICER)
(713) 387-7140
Entity
Organization
Contact information
Practice address
7777 WESTGREEN BLVD, CYPRESS, TX 77433-0190
(713) 529-3597
(713) 529-9169
Mailing address
190 HEIGHTS BLVD, HOUSTON, TX 77007-3729
(713) 529-3597
(713) 529-6169
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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