Organization · Type 2 NPI

Lone Star Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Willis, TX

NPI number 1013380708 Active

Practice location

9516 FM 1097 Rd W Ste 140
Willis, TX 77318-4976

Call (936) 539-4004 Map

Fax (936) 224-4205

Mailing address

605 S Conroe Medical Dr
Conroe, TX 77304-4722

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

4 other providers at this address

NPI record

NPI: 1013380708
Entity type: Organization (Type 2)
Issued: Nov 4, 2015
Last updated: Jul 14, 2021
Status: Active
Subpart: Yes of Lone Star Community Health Center, Inc.

Other names

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Lone Star Family Health Center - Willis · other name

Authorized official

Karen Harwell
Chief Executive Officer
(936) 539-4004

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013380708

Lone Star Community Health Center, Inc.'s National Provider Identifier is 1013380708, issued on Nov 4, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Willis, TX. The record was last updated on Jul 14, 2021.