# CLINICA HISPANASALUD INTEGRAL

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

## Provider details

- **NPI number:** 1750716791
- **Authorized official:** DR. STANTONT CLARK PACKARD MD (DOCTOR)
- **Authorized official phone:** (832) 831-6350

## Contact information

- **Practice address:** 737 W CAVALCADE ST, HOUSTON, TX 77009-3048
- **Practice address phone:** (832) 831-6350
- **Practice address fax:** (832) 831-6351
- **Mailing address:** 737 W CAVALCADE ST, HOUSTON, TX 77009-3048
- **Mailing address phone:** (832) 831-6350
- **Mailing address fax:** (832) 831-6351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | J6641 | TX | Yes |

## Other

- **Enumeration date:** 09/10/2013
- **Last updated:** 09/10/2013