La Clinica Latina PLLC
Family Medicine in Houston, TX. Organization (NPI-2).
NPI number1962073262
StatusActive
Last updated in NPPESJul 7, 2021
Details
- NPI
- 1962073262
- Entity type
- Organization (NPI-2)
- Legal business name
- La Clinica Latina PLLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2021
- Certification date
- Jul 7, 2021
- Last updated
- Jul 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
6859 S Gessner RdHouston, TX 77036-4613
Phone 281-501-1889
Mailing address
6859 S Gessner RdHouston, TX 77036-4613
Authorized official
Laura Kanu
Apn/Administration
7133039064
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