Organization
SPRING BRANCH COMMUNITY HEALTH CENTER
Active
Parent organization
SPRING BRANCH COMMUNITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRING BRANCH COMMUNITY HEALTH CENTER
Authorized official
MARLEN TRUJILLO (CEO)
(713) 462-6565
Entity
Organization
Contact information
Practice address
19333 CLAY RD, KATY, TX 77449-4001
(713) 462-6555
(713) 462-6581
Mailing address
5502 1ST ST, KATY, TX 77493-2472
(713) 462-6565
(713) 462-6596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
172V00000X
Community Health Worker
—
—
208000000X
Pediatrics Physician
—
—
251B00000X
Case Management Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337890301
—
TX
Enumeration date
05/05/2014
Last updated
10/16/2024
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