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Organization
ATHENA MEDICAL CLINIC LLC
Active
Organization
ATHENA MEDICAL CLINIC LLC
Active
Other names
Athena medical clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
IOLANI MAE SY AVES NP (MANAGING MEMBER)
(713) 584-9013
Entity
Organization
Contact information
Practice address
30575 KINGSLAND BLVD # 150, BROOKSHIRE, TX 77423-2844
(281) 717-4674
Mailing address
30575 KINGSLAND BLVD # 150, BROOKSHIRE, TX 77423-2844
(281) 717-4674
(833) 318-0533
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
06/23/2023
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