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General NPI Number Information
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NPI Number | 1326773763
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Entity Type | Organization
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Legal Business Name | JURADO FAMILY CLINIC, LLC
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 11422 SOUTHWEST FWY STE 400
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City | HOUSTON
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State | TX
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Zip | 77031-3623
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Country | US
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Telephone | 281-835-4048
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Fax | 281-407-9228
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Provider Business Mailing Address
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Address Line | 11422 SOUTHWEST FWY STE 400
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City | HOUSTON
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State | TX
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Zip | 77031-3623
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Country | US
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Telephone | 281-835-4048
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Fax | 281-407-9228
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Authorized Official
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Title or Position | FNP
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Name | MAYLIN JURADO CARBALLO
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Credential | FNP
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Telephone | 786-230-7510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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