Organization
ATHENA MEDICAL CLINIC LLC
Active
Other names
Athena medical clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
IOLANI MAE SY AVES NP (MANAGING MEMBER)
(713) 584-9013
Entity
Organization
Contact information
Practice address
30575 KINGSLAND BLVD # 150, BROOKSHIRE, TX 77423-2844
(281) 717-4674
Mailing address
30575 KINGSLAND BLVD # 150, BROOKSHIRE, TX 77423-2844
(281) 717-4674
(833) 318-0533
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
06/23/2023
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