Organization
CLINICA VITAL CARE LLC
Active
Other names
CLINICA VITAL CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAYLIN DIAZ LOPEZ FNP (MEDICAL PROVIDER)
(832) 705-8586
Entity
Organization
Contact information
Practice address
12033 VETERANS MEMORIAL DR, HOUSTON, TX 77067-1055
(832) 705-8585
(832) 705-8586
Mailing address
12033 VETERANS MEMORIAL DR, HOUSTON, TX 77067-1055
(832) 705-8585
(832) 705-8586
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/06/2022
Last updated
03/27/2024
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