Organization
STEPHEN F AUSTIN COMMUNITY HEALTH CENTER,INC
Active
Other names
CHN at Brazosport
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY SMITH (CREDENTIALING COORDINATOR)
(281) 824-1480
Entity
Organization
Contact information
Practice address
500 COLLEGE DR RM B112, LAKE JACKSON, TX 77566-3136
(281) 824-1480
(281) 220-6407
Mailing address
1111 W ADOUE ST, ALVIN, TX 77511-2718
(281) 824-1480
(281) 220-6407
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
12/05/2022
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