Provider Demographics
NPI:1699966754
Name:ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA
Entity type:Organization
Organization Name:ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARACOSTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-333-7273
Mailing Address - Street 1:13930 BELLAIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083
Mailing Address - Country:US
Mailing Address - Phone:713-773-0803
Mailing Address - Fax:713-271-5422
Practice Address - Street 1:7001 CORPORATE DR
Practice Address - Street 2:SUITE 120
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-5139
Practice Address - Country:US
Practice Address - Phone:713-773-0803
Practice Address - Fax:713-271-5422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183828605Medicaid
TX671913Medicare Oscar/Certification