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Organization
PANAMERICANA FAMILY MEDICINE CLINIC PLLC
Active
Organization
PANAMERICANA FAMILY MEDICINE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN E. VEGA FNP-BC (MANAGER)
(713) 480-9129
Entity
Organization
Contact information
Practice address
1900 BLALOCK RD # 1900M, HOUSTON, TX 77080-5450
(713) 480-9129
Mailing address
7126 RANCHERIA DR, HOUSTON, TX 77083-4330
(713) 240-1221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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