SPRING BRANCH COMMUNITY HEALTH CENTER – Federally Qualified Health Center (FQHC), NPI 1093186728

SPRING BRANCH COMMUNITY HEALTH CENTER is a healthcare provider. based in Houston, Texas. specializing in Federally Qualified Health Center (FQHC). The NPI Number for SPRING BRANCH COMMUNITY HEALTH CENTER is 1093186728

Main info

Organization
Name
SPRING BRANCH COMMUNITY HEALTH CENTER
NPI
1093186728
Phone
(713) 462-6565
Address
800 WEST SAM HOUSTON PKWY S
Authorized Official
MARLEN J TUJILLO CHIEF EXECUTIVE OFFICER MBA
Enumeration Date
7 October 2015
Last Update Date
20 June 2025

Contacts

Main Contact
Houston
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness95
Years active:10State licenses:0Other names

Provider Addresses for SPRING BRANCH COMMUNITY HEALTH CENTER

  • 800 WEST SAM HOUSTON PKWY S

    SUITE 200

    HOUSTON, TX 77042

    Phone: (713) 462-6565

    Fax: (832) 831-5369

    Type: Mailing

  • 5502 1ST ST

    KATY, TX 774932472

    Phone: (713) 462-6565

    Fax: (832) 831-5369

    Type: Mailing

  • 1905 JACQUELYN DR # 101

    HOUSTON, TX 770552502

    Phone: (713) 462-6565

    Fax: (713) 732-9665

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20170812000011OFederally Qualified Health Center (Fqhc)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77042)

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Reviews

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Frequently asked questions

How is SPRING BRANCH COMMUNITY HEALTH CENTER identified in CMS data?
CMS-hosted NPPES data lists SPRING BRANCH COMMUNITY HEALTH CENTER with NPI 1093186728.
Does CMS list SPRING BRANCH COMMUNITY HEALTH CENTER as active?
Yes — SPRING BRANCH COMMUNITY HEALTH CENTER is active in the NPI listing used on this page.
What is SPRING BRANCH COMMUNITY HEALTH CENTER's specialty?
The listing groups SPRING BRANCH COMMUNITY HEALTH CENTER with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What area does SPRING BRANCH COMMUNITY HEALTH CENTER serve?
SPRING BRANCH COMMUNITY HEALTH CENTER's listing highlights Houston, Texas; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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