Organization
POLICLINICA BIENESTAR LATINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO A GONZALES (OWNER)
(713) 370-2260
Entity
Organization
Contact information
Practice address
6633 HILLCROFT ST, SUITE 261, HOUSTON, TX 77081-4887
(713) 370-2260
Mailing address
6633 HILLCROFT ST, SUITE 261, HOUSTON, TX 77081-4887
(713) 370-2260
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
P1754
TX
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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