Organization
EL CENTRO DE CORAZON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORSHALLE NICHOLE SMITH (REVENUE CYCLE MANAGER)
(346) 772-3944
Entity
Organization
Contact information
Practice address
412 TELEPHONE RD, HOUSTON, TX 77023-1840
(713) 660-1880
(713) 926-9105
Mailing address
P.O. BOX 230209, HOUSTON, TX 77223
(713) 660-1880
(713) 926-9105
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
172V00000X
Community Health Worker
—
—
2084P0800X
Psychiatry Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1696395-01
—
TX
Enumeration date
02/06/2006
Last updated
05/15/2025
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