MEDICARE: CLINICA LAS AMERICAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	E7302	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0009JQ	OTHER	TX	BLUE CROSS AND BLUE SHIEL

General Provider Information

NPI Number	:	1992906713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICA LAS AMERICAS

Provider Business Mailing Address
First Line	:	8800 LONG POINT RD
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77055-3025
Country	:	US
Telephone Number	:	713-973-8292
Fax Number	:	713-973-0841

Provider Business Practice Location Address
First Line	:	8800 LONG POINT RD
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77055-3025
Country	:	US
Telephone Number	:	713-973-8292
Fax Number	:	713-973-0841

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. HECTOR E TOBON
Credential	:	M.D
Telephone Number	:	713-973-8292

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	08/22/2020

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Directions to “CLINICA LAS AMERICAS ” Practice Location

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