Organization
TEXAS MOBILE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELETTE BAKER (PRESIDENT)
(281) 333-5079
Entity
Organization
Contact information
Practice address
16427 GLENSHANNON DR, HOUSTON, TX 77059-6006
(281) 333-5079
(713) 513-5319
Mailing address
PO BOX 744, SEABROOK, TX 77586-0744
(281) 333-5079
(713) 513-5319
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J61T
BCBS OF TX
TX
Enumeration date
05/03/2006
Last updated
08/22/2020
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