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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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