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Organization

SPRING BRANCH COMMUNITY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARLEN TRUJILLO (CHIEF EXECUTIVE OFFICER)
(713) 462-6556
Entity
Organization

Contact information

Practice address
8575 PITNER RD, HOUSTON, TX 77080-2010
(713) 462-6545
(713) 462-6581
Mailing address
5502 1ST ST, KATY, TX 77493-2472
(713) 462-6565
(713) 462-6581

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
208000000X
Pediatrics Physician
251B00000X
Case Management Agency
261QF0400X
Federally Qualified Health Center (FQHC)
N2861
TX
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209600001
TX
Enumeration date
04/22/2010
Last updated
09/11/2024
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