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Organization

CLINICA HISPANA SALUD Y VIDA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTONIO BRIZUELA (OWNER)
(214) 497-7346
Entity
Organization

Contact information

Practice address
507 N HIGHWAY 77 STE 510, WAXAHACHIE, TX 75165-1885
(469) 550-2026
(469) 550-2029
Mailing address
507 N HIGHWAY 77 STE 510, WAXAHACHIE, TX 75165-1885
(469) 550-2026
(469) 550-2029

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4311482
TX
Enumeration date
04/29/2022
Last updated
05/05/2025
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