Fourth Ward Clinic
NPI #1376098509 in Cypress, Texas
Provider Information
- NPI Number
- 1376098509
- Entity Type
- Organization
- Organization Name
- Fourth Ward Clinic
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 17, 2016
- Last Updated
- Aug 17, 2016
Practice Location
Authorized Official
- Name
- ANN THIELKE
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (713) 387-7140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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