Organization
SPRING BRANCH COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MCCAIN (CFO)
(713) 462-6565
Entity
Organization
Contact information
Practice address
19333 CLAY RD, KATY, TX 77449-4001
(713) 462-6565
Mailing address
5502 1ST ST, KATY, TX 77493-2472
(713) 462-6565
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
—
1093186728
—
TX
05
—
1235141409
—
TX
05
—
1548670128
—
TX
05
—
1558688135
—
TX
05
—
1578235131
—
TX
05
—
1669129375
—
TX
05
—
1851741003
—
TX
05
—
1871022467
—
TX
Enumeration date
11/27/2024
Last updated
12/19/2024
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