Organization
STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC
Active
Other names
MYCHN PASADENA
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY SMITH (CREDENTIALING COORDINATOR II)
(281) 824-1480
Entity
Organization
Contact information
Practice address
6243 FAIRMONT PKWY STE 203&204, PASADENA, TX 77505-4045
(281) 824-1480
(281) 220-6407
Mailing address
1612 CALLAWAY DR, ALVIN, TX 77511-3743
(281) 824-1480
(281) 220-6407
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
03/26/2024
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