Organization
CLINICA HISPANA CE KING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANTON PACKARD MD (DOCTOR)
(281) 459-9947
Entity
Organization
Contact information
Practice address
8514 C E KING PKWY, SUITE M, HOUSTON, TX 77044-2344
(281) 459-9947
Mailing address
8514 CE KING PKWY, SUITE M, HOUSTON, TX 77044
(281) 459-9947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J6641
TX
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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