Organization
MI CLINICA BELLAIRE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAIMARA PANTOJA GONZALEZ (FNP)
(832) 638-5975
Entity
Organization
Contact information
Practice address
5901 BELLAIRE BLVD STE 104, HOUSTON, TX 77081-5515
(832) 638-5975
Mailing address
5901 BELLAIRE BLVD STE 104, HOUSTON, TX 77081-5515
(832) 638-5975
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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