Organization
CLINICA FAMILIAR LAS AMERICAS FW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBONNE LOPEZ MASO (OWNER)
(682) 707-5982
Entity
Organization
Contact information
Practice address
1701 NW 25TH ST, FORT WORTH, TX 76164-6850
(682) 707-5982
(682) 707-5984
Mailing address
1701 NW 25TH ST, FORT WORTH, TX 76164-6850
(682) 707-5982
(682) 707-5984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/11/2025
Last updated
04/07/2025
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