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Organization

MIRACLE MEDICAL MANAGEMENT INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA YADIRA ORTIZ GONZALEZ FNP-C (CEO)
(832) 812-9598
Entity
Organization

Contact information

Practice address
20127 IVORY VALLEY LN, CYPRESS, TX 77433-0030
(832) 812-9598
Mailing address
20127 IVORY VALLEY LN, CYPRESS, TX 77433-0030
(832) 812-9598

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QH0100X
Health Service Clinic/Center
261QP2300X
Primary Care Clinic/Center
Primary
261QU0200X
Urgent Care Clinic/Center
364S00000X
Clinical Nurse Specialist

Other

Enumeration date
03/16/2021
Last updated
06/07/2021
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