# ATHENA MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Athena medical clinic LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760102644
- **Authorized official:** IOLANI MAE SY AVES NP (MANAGING MEMBER)
- **Authorized official phone:** (713) 584-9013

## Contact information

- **Practice address:** 30575 KINGSLAND BLVD \# 150, BROOKSHIRE, TX 77423-2844
- **Practice address phone:** (281) 717-4674
- **Mailing address:** 30575 KINGSLAND BLVD \# 150, BROOKSHIRE, TX 77423-2844
- **Mailing address phone:** (281) 717-4674
- **Mailing address fax:** (833) 318-0533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2022
- **Last updated:** 06/23/2023