| Clinica De Su Comunidad Llc | |
|
15334 Misty Dawn Trl Cypress TX 77433-5893 | |
| (508) 667-8601 | |
| Not Available |
| Full Name | Clinica De Su Comunidad Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 15334 Misty Dawn Trl, Cypress, Texas |
| Authorized Official Name and Position | Olugbenga Coker (OWNER) |
| Authorized Official Contact | 5086678601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica De Su Comunidad Llc 15334 Misty Dawn Trl Cypress TX 77433-5893 Ph: (508) 667-8601 | Clinica De Su Comunidad Llc 15334 Misty Dawn Trl Cypress TX 77433-5893 Ph: (508) 667-8601 |
| NPI Number | 1194152025 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 10/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194152025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
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