# HOUSTON CLINICA FAMILIA 2 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023503323
- **Authorized official:** YAIMARA G PANTOJA NP (NP)
- **Authorized official phone:** (713) 695-7600

## Contact information

- **Practice address:** 232 E CROSSTIMBERS ST STE E, HOUSTON, TX 77022-4499
- **Practice address phone:** (713) 695-7600
- **Mailing address:** 232 E CROSSTIMBERS ST STE E, HOUSTON, TX 77022-4499
- **Mailing address phone:** (713) 695-7600
- **Mailing address fax:** (713) 695-7602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 875276 | TX | Yes |

## Other

- **Enumeration date:** 06/28/2018
- **Last updated:** 06/28/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 875276 | TEXAS BOARD OF NURSE PRACTITIONER | — |