Organization
CLINICA HISPANASALUD INTEGRAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANTONT CLARK PACKARD MD (DOCTOR)
(832) 831-6350
Entity
Organization
Contact information
Practice address
737 W CAVALCADE ST, HOUSTON, TX 77009-3048
(832) 831-6350
(832) 831-6351
Mailing address
737 W CAVALCADE ST, HOUSTON, TX 77009-3048
(832) 831-6350
(832) 831-6351
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
J6641
TX
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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