| Clinica Universo Latino 2 Llc | |
|
112 Avenue F Stafford TX 77477-5502 | |
| (832) 602-9576 | |
| Not Available |
| Full Name | Clinica Universo Latino 2 Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 112 Avenue F, Stafford, Texas |
| Authorized Official Name and Position | Chika Odili (OWNER) |
| Authorized Official Contact | 8326029576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Universo Latino 2 Llc 112 Avenue F Stafford TX 77477-5502 Ph: (832) 602-9576 | Clinica Universo Latino 2 Llc 112 Avenue F Stafford TX 77477-5502 Ph: (832) 602-9576 |
| NPI Number | 1922478775 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 10/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922478775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
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