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Organization

AMD FREEDOM ENTERPRISES, INC

Active
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Organization

AMD FREEDOM ENTERPRISES, INC

Active
Other names
CLINICA HISPANA MCCARTY, CLINICA HISPANA LUFKIN, CLINICA HISPANA CLEVELAND, CLINICA HISPANA PORTER, CLINICA HISPANA NEW CANEY, CLINICA HISPANA LUBBOCK
Organization subpart
No

Provider details

NPI number
Authorized official
ALIESKI MASTRAPA DOMINGUEZ (DIRECTOR)
(281) 381-6190
Entity
Organization

Contact information

Practice address
114 TRULY PLZ, CLEVELAND, TX 77327-4889
(832) 480-5313
(832) 480-5314
Mailing address
PO BOX 2799, PORTER, TX 77365-2799
(281) 381-6190
(281) 747-7162

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—

Other

Enumeration date
04/07/2022
Last updated
08/31/2023
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