Organization
FOURTH WARD CLINIC
Active
Other names
Good Neighbor Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TUESDAY COFFMAN (CHIEF OPERATING OFFICER)
(713) 529-3597
Entity
Organization
Contact information
Practice address
190 HEIGHTS BLVD, HOUSTON, TX 77007-3729
(713) 529-3597
(713) 529-9169
Mailing address
190 HEIGHTS BLVD, HOUSTON, TX 77007-3729
(713) 529-3597
(713) 529-9169
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126821105
—
TX
Enumeration date
08/20/2006
Last updated
03/03/2015
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