Organization
MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM
Active
Other names
MEHOP Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE HARRISON (CEO)
(979) 245-2008
Entity
Organization
Contact information
Practice address
1700 GOLDEN AVE, BAY CITY, TX 77414-3122
(979) 245-2008
(979) 245-0744
Mailing address
101 AVENUE F N, BAY CITY, TX 77414-3167
(979) 245-2008
(979) 245-0744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00642Y
MEDICARE
TX
05
—
173656301
—
TX
Enumeration date
05/09/2012
Last updated
06/16/2025
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