Healthcare Provider Details

I. General information

NPI: 1477752871
Provider Name (Legal Business Name): LATINO LEARNING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3522 POLK ST
HOUSTON TX
77003-4844
US

IV. Provider business mailing address

3522 POLK ST
HOUSTON TX
77003-4844
US

V. Phone/Fax

Practice location:
  • Phone: 713-223-1391
  • Fax: 713-222-2338
Mailing address:
  • Phone: 713-223-1391
  • Fax: 713-222-2338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. JOE PAUL ZEPEDA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 713-223-1391