Organization
CLINICA DE SU COMUNIDAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUGBENGA COKER (OWNER)
(508) 667-8601
Entity
Organization
Contact information
Practice address
15334 MISTY DAWN TRL, CYPRESS, TX 77433-5893
(508) 667-8601
Mailing address
15334 MISTY DAWN TRL, CYPRESS, TX 77433-5893
(508) 667-8601
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
TX
Other
Enumeration date
10/09/2013
Last updated
10/11/2013
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