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General NPI Number Information
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NPI Number | 1891671012
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Entity Type | Organization
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Legal Business Name | CLINICA SALUD Y VIDA INC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 16103 W LITTLE YORK RD STE C
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City | HOUSTON
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State | TX
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Zip | 77084-6867
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Country | US
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Telephone | 281-500-9910
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Fax | 832-900-0979
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Provider Business Mailing Address
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Address Line | 16103 W LITTLE YORK RD STE C
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City | HOUSTON
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State | TX
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Zip | 77084-6867
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Country | US
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Telephone | 281-500-9910
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Fax | 832-900-9930
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Authorized Official
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Title or Position | OWNER MANAGER
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Name | MR. MANUEL RAFAEL VEGA
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Credential | CEO
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Telephone | 713-517-5225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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