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Organization

TEXANA CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BELEN ALDERETE (CREDENTIALING CONTRACTING SUPERVISO)
(281) 239-1443
Entity
Organization

Contact information

Practice address
4910 AIRPORT AVE BLDG D, ROSENBERG, TX 77471-5759
(281) 239-1369
(281) 239-0828
Mailing address
4910 AIRPORT AVE BLDG D, ROSENBERG, TX 77471-5759
(281) 239-1369
(281) 239-0828

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
1223G0001X
General Practice Dentistry
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
261QD1600X
Developmental Disabilities Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
081522701
TX
01
306090325
BCBSTX
TX
Enumeration date
05/27/2006
Last updated
09/28/2023
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