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Organization
MI CLINICA MEDICA BELLAIRE, PLLC
Active
Organization
MI CLINICA MEDICA BELLAIRE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAIMARA GONZALEZ PANTOJA FNP (OWNER)
(832) 638-5975
Entity
Organization
Contact information
Practice address
5901 BELLAIRE BLVD STE 104, HOUSTON, TX 77081-5515
(832) 638-5975
Mailing address
5901 BELLAIRE BLVD STE 104, HOUSTON, TX 77081-5515
(832) 834-4688
(832) 834-4687
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
03/27/2023
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