SPRING BRANCH COMMUNITY HEALTH CENTER (NPI# 1093186728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093186728 |
| Entity Type | Organization |
| Organization Name | SPRING BRANCH COMMUNITY HEALTH CENTER |
| Practice Address |
1905 Jacquelyn Dr # 101 Houston TX 77055-2502 |
| Mailing Address |
800 West Sam Houston Pkwy S Suite 200 Houston TX 77042 |
| Practice Telephone | 7134626565 |
| Practice Fax Number | 7137329665 |
| Mailing Telephone | 7134626565 |
| Mailing Fax Number | 8328315369 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | MARLEN J TUJILLO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7134626565 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114223005 | Spring Branch Community Health Center | Dentist | 7777 Westgreen Blvd, Cypress, TX 77433 | 2011-02-10 |
| 1558688135 | Spring Branch Community Health Center | Clinic/Center | 8575 Pitner Rd, Houston, TX 77080-2010 | 2010-04-22 |
| 1235141409 | Spring Branch Community Health Center | Clinic/Center | 1615 Hlllendahl Boulevard, Suite 100, Houston, TX 77055-3402 | 2006-08-13 |
| 1972094928 | Spring Branch Community Health Center | Dentist | 19333 Clay Rd, Katy, TX 77449-4001 | 2018-05-25 |
| 1871022467 | Spring Branch Community Health Center | Clinic/Center | 7777 Westgreen Blvd, Cypress, TX 77433-0190 | 2017-06-07 |
| 1851741003 | Spring Branch Community Health Center | Clinic/Center | 5502 1st St, Katy, TX 77493-2472 | 2016-06-20 |
| 1548670128 | Spring Branch Community Health Center | Dentist | 19333 Clay Rd, Katy, TX 77449-4001 | 2014-05-05 |
| 1811125008 | Spring Branch Community Health Center | Community/Behavioral Health | 1615 Hillendahl Blvd, Suite 100, Houston, TX 77055-0000 | 2009-06-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPRING BRANCH COMMUNITY HEALTH CENTER | 800 W Sam Houston Pkwy S Ste 20, Houston, TX 77042-1908 |
| Street Address |
1905 JACQUELYN DR # 101 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77055-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594823 | Taha Pharmacy | Pharmacy | 1383 Bunker Hill Rd, 101, Houston, TX 77055 | 2020-10-02 |
| 1134777238 | Cini Thomas | Nurse Practitioner | 9504 Long Point Rd, Suite E, Houston, TX 77055 | 2019-08-31 |
| 1598248056 | Jan Michael Coz | Occupational Therapy Assistant | 1341 Blalock Road, Houston, TX 77055 | 2018-09-11 |
| 1528557881 | The Hospital At I-10 | Special Hospital | 9430 Old Katy Road, Suite 100, Houston, TX 77055 | 2018-05-02 |
| 1508353129 | Amber Clarke | Nurse Practitioner | Westside Physicians Clinic, 1160 Blalock Rd, Houston, TX 77055 | 2018-04-19 |
| 1205338506 | Kelsey Samantha Gold | Registered Nurse | 7605 Wedgewood Lane, Houston, TX 77055 | 2018-03-02 |
| 1255849147 | Tan Minh Nguyen | Physical Therapy Assistant | 1341 Blalock, Houston, TX 77055 | 2018-01-13 |
| 1679097737 | Susan Degner | Social Worker | 1500 N. Post Oak Rd. Suite 150, Houston, TX 77055 | 2017-07-31 |
| 1003336413 | Solange Inzillo | Speech-Language Pathologist | 9757 Pine Lake Drive, #4025, Houston, TX 77055 | 2017-06-27 |
| 1386181618 | Gem Monika Yamon Escamilla | Nurse Practitioner | 8116 Long Point Rd, Houston, TX 77055 | 2017-01-25 |
| Find all providers in zip 77055 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
| 1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
| 1962013151 | Legacy Community Health Services, Inc | Clinic/Center | 353 Castlegory Dr., Houston, TX 77049-1739 | 2020-08-12 |
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| 1801444039 | Houston Community Health Centers, Inc | Clinic/Center | 215 Rittenhouse St, Houston, TX 77076-1709 | 2019-08-30 |
| 1275198509 | Asian American Health Coalition of The Greater Houston Area | Clinic/Center | 3000 Aldine Mail Route Rd, Building C, Ste 200, Houston, TX 77039 | 2019-05-02 |
| 1952868143 | Bee Busy Wellness Center | Clinic/Center | 1300 Bay Area Blvd # 200, Houston, TX 77058-2505 | 2019-02-25 |
| 1902373061 | Houston Community Health Centers, Inc | Clinic/Center | 1800 Mccarty St, Houston, TX 77029-3761 | 2018-10-26 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.