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Organization

FAMILY CLINIC - CLINICA FAMILIAR, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE LARAYA M.D. (OWNER-MEMBER)
(901) 218-5328
Entity
Organization

Contact information

Practice address
3860 NEW COVINGTON PIKE, SUITE 101, MEMPHIS, TN 38128-2506
(901) 377-6805
(901) 377-6806
Mailing address
3860 NEW COVINGTON PIKE, SUITE 101, MEMPHIS, TN 38128-2506
(901) 377-6805
(901) 377-6806

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD29040
TN

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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