Organization
ST HOPE FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIKA SAM-COOPER (COO)
(713) 778-1300
Entity
Organization
Contact information
Practice address
14815 SOUTHWEST FWY, SUGAR LAND, TX 77478-5016
(281) 277-8571
(281) 277-8564
Mailing address
6200 SAVOY DRIVE, SUITE 540, HOUSTON, TX 77036-3338
(713) 778-1300
(281) 778-0827
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021KK
BLUE CROSS/BLUE SHIELD
TX
05
—
4218075-01
—
TX
Enumeration date
12/21/2006
Last updated
05/18/2021
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