Forms received filled out and submitted back to Rajika. Reference emails are as follows: ----------------- Reid, Rajika Attachments Nov 24, 2020, 11:25 AM (21 hours ago) to me, CHC  Good afternoon:  Please fill out the attached form and return at your earliest convenience.  Once received, you will received an amendment adding this location.  Your assistance is appreciated.     Kindest Regards,   -------------- Hi Rajika, Kindly find the attached completed letter for location addition. Existing group with CHC:  (Normandy Urgent Care Center 779 Normandy St Ste 114 Houston , TX 77015-3441) Group Name: Normandy Urgent Care Center  Group Tax-ID: 27-0796429. Provider: George Jeemol. Location to add: (9504 LONG POINT RD STE E Houston , TX 77055-4226) 