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:
Map and Directions
Authorized official contact:
Name: Casas, Andrew R
Phone: (832) 325-7317

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093868630 NPPES
Texas MEDICAID 181590401

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