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Organization
HOUSTON CLINICA FAMILIA 2 LLC
Active
Organization
HOUSTON CLINICA FAMILIA 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAIMARA G PANTOJA NP (NP)
(713) 695-7600
Entity
Organization
Contact information
Practice address
232 E CROSSTIMBERS ST STE E, HOUSTON, TX 77022-4499
(713) 695-7600
Mailing address
232 E CROSSTIMBERS ST STE E, HOUSTON, TX 77022-4499
(713) 695-7600
(713) 695-7602
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
875276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
875276
TEXAS BOARD OF NURSE PRACTITIONER
—
Enumeration date
06/28/2018
Last updated
06/28/2018
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