Organization
CLINICA UNIVERSO LATINO 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKA ODILI (OWNER)
(832) 602-9576
Entity
Organization
Contact information
Practice address
112 AVENUE F, STAFFORD, TX 77477-5502
(832) 602-9576
Mailing address
112 AVENUE F, STAFFORD, TX 77477-5502
(832) 602-9576
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
TX
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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