# CLINICA FAMILIAR DICKINSON, LLC

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

## Provider details

- **NPI number:** 1952058315
- **Authorized official:** HUMBERTO MARTINEZ NP-C (FNP)
- **Authorized official phone:** (512) 701-5750

## Contact information

- **Practice address:** 4913 FM 517 RD E, DICKINSON, TX 77539-6094
- **Practice address phone:** (832) 340-7951
- **Practice address fax:** (832) 340-7786
- **Mailing address:** 4913 FM 517 RD E, DICKINSON, TX 77539-6094
- **Mailing address phone:** (832) 340-7951
- **Mailing address fax:** (832) 340-7786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2022
- **Last updated:** 02/16/2024