HOUSTON AREA COMMUNITY SERVICES INC. NPI 1053539262

NPI Information

  • NPI: 1053539262
  • Provider Name: HOUSTON AREA COMMUNITY SERVICES, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: AVENUE 360 HEALTH AND WELLNESS
  • Address: 2150 W 18TH ST SUITE 300
    HOUSTON, TX
    ZIP 77008
  • Phone: (713) 426-0027

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NPI Details

HOUSTON AREA COMMUNITY SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Houston, TX. HOUSTON AREA COMMUNITY SERVICES, INC. NPI is 1053539262. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avenue 360 Health And Wellness.

The provider's business location address is:

2150 W 18TH ST SUITE 300
HOUSTON, TX
ZIP 77008-200
Phone: (713) 426-0027
Fax: (832) 209-7186

The provider's authorized official is Tequila Henderson .
The authorized official title is Revenue Cycle Director and has the following contact phone number (713) 426-0027.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 10/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2207Q00000XFamily MedicineNo
3207RI0200XInternal MedicineInfectious DiseaseNo
42080A0000XPediatricsAdolescent MedicineNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
6261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes
7261QM1300XClinic/CenterMulti-SpecialtyNo
8363LF0000XNurse PractitionerFamilyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1202850804MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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