Organization
CLINICA LATINA FAMILIAR 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYDELIS SUAREZ FNP (MEDICAL PROVIDER)
(386) 205-4365
Entity
Organization
Contact information
Practice address
31315 FM 2920 RD STE 9, WALLER, TX 77484-8021
(936) 372-3000
(936) 372-3009
Mailing address
31315 FM 2920 RD STE 9, WALLER, TX 77484-8021
(936) 372-3000
(936) 372-3009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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