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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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