Organization
KCJZ LLC
Active
Other names
La Michoacana Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KARLA IVONNE CERVANTES (ADMINISTRATOR)
(832) 379-2900
Entity
Organization
Contact information
Practice address
8443 AIRLINE DR, SUITE B, HOUSTON, TX 77037-3213
(832) 379-2900
(832) 379-2920
Mailing address
8443 AIRLINE DR, SUITE B, HOUSTON, TX 77037-3213
(832) 379-2900
(832) 379-2920
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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