Fort Bend Family Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

FORT BEND FAMILY HEALTH CENTER, INC.

Practice address

Reda Bland Evans at O.J. Baker Street
Owen Franklin Health Ctr, 2ND FL., Prairie View a&M
Prairie View, TX 77446

Phone

(936) 857-2726

Fax

(936) 857-2725

NPI assigned

Nov 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lynda Bible

Title

Chief Executive Officer

Phone

(281) 633-3106

Specialties & licenses 1

Addresses

Other names 1

• Waller Center Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790850691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AUSTIN ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694406",
            "telephone_number": "281-342-4530",
            "fax_number": "281-342-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REDA BLAND EVANS AT O.J. BAKER STREET",
            "address_2": "OWEN FRANKLIN HEALTH CTR, 2ND FL., PRAIRIE VIEW A&M",
            "city": "PRAIRIE VIEW",
            "state": "TX",
            "postal_code": "77446",
            "telephone_number": "936-857-2726",
            "fax_number": "936-857-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BEND FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIBLE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "281-633-3106"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waller Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amor Supply
• Christopher Ethan Bartholomew, D.D.S.
• Glenn Edward Berry, M.D.
• Maryellen Hole
• Labelle Health Care Services
• Davina Demetria Mitchell
• Cosmas Asonye Nwogwugwu
• Owens Franklin Health Center, Prairie View a&M University

• Federally Qualified Health Center (FQHC) in Prairie View, TX
• Providers in Prairie View, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.