Organization
CLINICA FAMILIAR HISPANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANTON CLARK PACKARD (DOCOTOR)
(281) 861-5565
Entity
Organization
Contact information
Practice address
17550 W LITTLE YORK RD, SUITE 10, HOUSTON, TX 77084-6321
(281) 861-5565
(281) 861-4225
Mailing address
17550 W LITTLE YORK RD, SUITE 10, HOUSTON, TX 77084-6321
(281) 861-5565
(281) 861-4225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J6641
TX
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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