| Clinica Hispana Familiar | |
|
3926 Avenue H Ste 15 Rosenberg TX 77471-2842 | |
| (281) 232-8883 | |
| (281) 232-8886 |
| Full Name | Clinica Hispana Familiar |
|---|---|
| Speciality | Clinic/Center |
| Location | 3926 Avenue H Ste 15, Rosenberg, Texas |
| Authorized Official Name and Position | Dayana Martinez Chao (OWNER/MANAGER) |
| Authorized Official Contact | 2812328883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Hispana Familiar 3926 Avenue H Ste 15 Rosenberg TX 77471-2842 Ph: (281) 232-8883 | Clinica Hispana Familiar 3926 Avenue H Ste 15 Rosenberg TX 77471-2842 Ph: (281) 232-8883 |
| NPI Number | 1922793496 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 05/16/2023 |
| Medicare PECOS PAC ID | 0749647105 |
|---|---|
| Medicare Enrollment ID | O20230531001724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922793496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dayana Martinez Chao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124742325 PECOS PAC ID: 1658738018 Enrollment ID: I20230531001896 |
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