Organization
CLINICA HISPANA LANCASTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELIO PEREZ GARCIA FNP (MEDICAL PROVIDER)
(786) 326-1762
Entity
Organization
Contact information
Practice address
3250 W PLEASANT RUN RD STE 160, LANCASTER, TX 75146-1071
(469) 747-3005
Mailing address
3250 W PLEASANT RUN RD STE 160, LANCASTER, TX 75146-1071
(469) 747-3005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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