Organization
CLINICA GLORIA DE AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLENISSET ARCIA-DIAZ (MANAGER)
(832) 299-6144
Entity
Organization
Contact information
Practice address
25188 INTERSTATE 45 N STE 1G, SPRING, TX 77386-1453
(832) 299-6144
(832) 299-6155
Mailing address
25188 INTERSTATE 45 N STE 1G, SPRING, TX 77386-1453
(832) 299-6144
(832) 299-6155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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