Organization
CLINICA KLASSICA MEDICINA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IFEOMA NDUBUISI (CEO)
(832) 879-2443
Entity
Organization
Contact information
Practice address
5101 HARRISBURG BLVD, HOUSTON, TX 77011-4227
(832) 879-2443
(832) 879-2439
Mailing address
5101 HARRISBURG BLVD, HOUSTON, TX 77011-4227
(832) 879-2443
(832) 879-2439
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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