Ut Physicians Chosen Clinic
LBN: Ut Physicians Chosen Clinic
Ut Physicians Chosen Clinic is an health care organization with primary practice located at 6410 Fannin St 720, Houston TX 77030-3000. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is the primary health care specialty.
Ut Physicians Chosen Clinic can be contacted via phone (832) 325-7298, or through Casas, Andrew R via phone (832) 325-7317.
Contact Information
Primary practice address
6410 Fannin St 720
Houston TX 77030-3000
Phone: (832) 325-7298
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1093868630 |
|---|---|
| LBN Legal business name | Ut Physicians Chosen Clinic |
| DBA Doing business as | |
| Authorized official | Casas, Andrew R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Dec 5th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093868630 | NPPES |
| Texas | MEDICAID | 181590401 |
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