FORT BEND FAMILY HEALTH CENTER, INC. (NPI# 1790850691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790850691 |
| Entity Type | Organization |
| Organization Name | FORT BEND FAMILY HEALTH CENTER, INC. |
| Other Organization Name | WALLER CENTER |
| Practice Address |
Reda Bland Evans At O.j. Baker Street Owen Franklin Health Ctr, 2nd Fl., Prairie View A&m Prairie View TX 77446 |
| Mailing Address |
400 Austin St Richmond TX 77469-4406 |
| Practice Telephone | 9368572726 |
| Practice Fax Number | 9368572725 |
| Mailing Telephone | 2813424530 |
| Mailing Fax Number | 2813423832 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LYNDA BIBLE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2816333106 |
| 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 |
| Other Name | Type Code |
|---|---|
| Waller Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003233529 | Fort Bend Family Health Center, Inc. | Clinic/Center | 5353 Ridge Creek Cir, Houston, TX 77053-4573 | 2014-03-21 |
| 1477769305 | Fort Bend Family Health Center, Inc. | Clinic/Center | 505 Forester, El Campo, TX 77437 | 2007-05-15 |
| 1801422092 | Fort Bend Family Health Center, Inc. | Obstetrics & Gynecology | 400 Austin St, Richmond, TX 77469-4406 | 2020-03-19 |
| 1356816789 | Fort Bend Family Health Center, Inc. | Clinic/Center | 400 Austin St, Richmond, TX 77469-4498 | 2018-10-12 |
| 1154649523 | Fort Bend Family Health Center, Inc. | Clinic/Center | 307 Texas Pkwy, Missouri City, TX 77489-1151 | 2010-05-11 |
| 1922174820 | Fort Bend Family Health Center, Inc. | Clinic/Center | 400 Austin St, Richmond, TX 77469-4406 | 2006-11-24 |
| 1831263359 | Fort Bend Family Health Center, Inc. | Clinic/Center | 10435 Greenbough Dr, Suite 300, Stafford, TX 77477-5000 | 2006-11-17 |
| Street Address |
REDA BLAND EVANS AT O.J. BAKER STREET OWEN FRANKLIN HEALTH CTR, 2ND FL., PRAIRIE VIEW A&M |
| City | PRAIRIE VIEW |
| State | TX |
| Zip Code | 77446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841825239 | Maryellen Hole | Specialist/Technologist | 1600 Stadium Drive, Prairie View, TX 77446 | 2020-03-06 |
| 1063059350 | Kayla Martinez Johnson | Psychologist | 1125 Reda Bland Evans St, Prairie View, TX 77446 | 2019-12-05 |
| 1063940369 | Ruth Smith | Nurse Practitioner | 1125 Reda Bland Evans Street, Owens-franklin Health Center, Prairie View A&m Universi, Prairie View, TX 77446 | 2017-05-31 |
| 1013327253 | Amor Supply | Durable Medical Equipment & Medical Supplies | 20707 Emerald Dr., Prairie View, TX 77446 | 2014-04-28 |
| 1295079317 | Star of Texas Home Health LLC | Home Health | 509 Ellen Powell Dr, Prairie View, TX 77446 | 2012-11-15 |
| 1649579533 | Owens Franklin Health Center, Prairie View A&m University | Clinic/Center | Ofhc, Reda Bland Evans @ O. J. Baker Street, Prairie View A&m University, Prairie View, TX 77446 | 2011-03-18 |
| 1316101009 | Sarah B Williams | Social Worker | 205 Hill St, Prairie View, TX 77446 | 2008-07-11 |
| 1689725723 | Christopher Ethan Bartholomew | Dentist | 528 Bus Hwy 290, Prairie View, TX 77446 | 2007-01-16 |
| 1639239874 | Prairie View A&m University | Clinic/Center | 1125 Reda Bland & Oj Baker St, Prairie View, TX 77446 | 2006-12-11 |
| 1962578831 | Glenn Edward Berry | Internal Medicine | Oj Baker At Reda Bland Evans, Prairie View, TX 77446 | 2006-11-24 |
| Find all providers in zip 77446 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE VIEW |
| Zip Code | 77446 |
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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.