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General NPI Number Information
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NPI Number | 1700471851
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Entity Type | Organization
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Legal Business Name | CLINICA FAMILIA HISPANA. INC
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 5392 W 34TH ST
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City | HOUSTON
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State | TX
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Zip | 77092-6626
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Country | US
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Telephone | 281-974-1225
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Fax | 281-501-1873
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Provider Business Mailing Address
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Address Line | 4534 HWY 6 N.
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City | HOUSTON
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State | TX
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Zip | 77084
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Country | US
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Telephone | 281-974-1225
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Fax | 281-501-1873
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MRS. MARILYN DEL TORO BRAVO
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Credential |
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Telephone | 737-333-1263
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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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