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General NPI Number Information
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NPI Number | 1871335521
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Entity Type | Organization
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Legal Business Name | CLINICA CENTRO MEDICO FAMILIAR INC
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Dates
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Enumeration Date | 06/12/2024
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 4534 HIGHWAY 6 N
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City | HOUSTON
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State | TX
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Zip | 77084-3402
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Country | US
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Telephone | 281-345-0008
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Fax | 281-345-2299
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Provider Business Mailing Address
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Address Line | 4534 HIGHWAY 6 N
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City | HOUSTON
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State | TX
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Zip | 77084-3402
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Country | US
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Telephone | 281-345-0008
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Fax |
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Authorized Official
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Title or Position | MEDICAL PROVIDER
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Name | DARLYS ALVAREZ CAMPO
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Credential | FNP
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Telephone | 832-290-0016
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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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