1518215060 NPI number — SOUTH CENTRAL HOUSTON ACTION COUNCIL INC

Table of content: ERIK WILLIAM STREIB MD (NPI 1922061480)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518215060 NPI number — SOUTH CENTRAL HOUSTON ACTION COUNCIL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH CENTRAL HOUSTON ACTION COUNCIL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518215060
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/15/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8610 MARTIN LUTHER KING JR BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77033-2308
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-734-0199
Provider Business Mailing Address Fax Number:
713-734-0286

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1102 PINEMONT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77018-1300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-734-0199
Provider Business Practice Location Address Fax Number:
713-734-0286
Provider Enumeration Date:
08/15/2012

Additional Information

Authorized Official

Authorized Official Last Name:
ROLAND
Authorized Official First Name:
MARCUS
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO/ PRESIDENT
Authorized Official Telephone Number:
713-734-0199

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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