Organization
HOUSTON GALVESTON INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE LEVIN (EXECUTIVE DIRECTOR)
(713) 526-8390
Entity
Organization
Contact information
Practice address
3316 MOUNT VERNON ST, HOUSTON, TX 77006-3829
(713) 526-8390
(713) 528-2618
Mailing address
3316 MOUNT VERNON ST, HOUSTON, TX 77006-3829
(713) 526-8390
(713) 528-2618
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10005289
AMERIGROUP PIN #
TX
01
—
HOUST-0005
COMPCARE GROUP NUMBER
TX
Enumeration date
04/09/2007
Last updated
08/22/2020
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