Organization
AMD FREEDOM ENTERPRISES, INC
Active
Other names
CLINICA HISPANA MCCARTY, CLINICA HISPANA LUFKIN, CLINICA HISPANA CLEVELAND, CLINICA HISPANA PORTER, CLINICA HISPANA NEW CANEY, CLINICA HISPANA LUBBOCK
Organization subpart
No
Provider details
NPI number
Authorized official
ALIESKI MASTRAPA DOMINGUEZ (DIRECTOR)
(281) 381-6190
Entity
Organization
Contact information
Practice address
114 TRULY PLZ, CLEVELAND, TX 77327-4889
(832) 480-5313
(832) 480-5314
Mailing address
PO BOX 2799, PORTER, TX 77365-2799
(281) 381-6190
(281) 747-7162
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/07/2022
Last updated
08/31/2023
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