Organization
CLINICA FAMILIAR UNIVERSAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO GONGAR (ADMINISTRATOR)
(281) 847-1133
Entity
Organization
Contact information
Practice address
2506 W MOUNT HOUSTON RD STE H-1, HOUSTON, TX 77038-3518
(281) 847-1133
Mailing address
2506 W MOUNT HOUSTON RD STE H-1, HOUSTON, TX 77038-3518
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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