Organization
CH STAFFORD LLC
Active
Other names
Clinica Universo Latino
Organization subpart
No
Provider details
NPI number
Authorized official
REYNOL RAMON POLANCO SORIANO (FNP)
(832) 875-7716
Entity
Organization
Contact information
Practice address
112 AVENUE F STE B, STAFFORD, TX 77477-5502
(281) 499-1121
(281) 499-1171
Mailing address
112 AVENUE F STE B, STAFFORD, TX 77477-5502
(281) 499-1121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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