Organization
ENRIVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ELENA DE VARONA (OWNER)
(908) 764-6529
Entity
Organization
Contact information
Practice address
5727 RAMPART ST, HOUSTON, TX 77081-2438
(832) 649-2490
Mailing address
5727 RAMPART ST, HOUSTON, TX 77081-2438
(832) 649-2490
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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