| Clinica Universo Latino #2 | |
|
112 Avenue F B Stafford TX 77477-5502 | |
| (713) 373-1609 | |
| Not Available |
| Full Name | Clinica Universo Latino #2 |
|---|---|
| Speciality | Clinic/center |
| Location | 112 Avenue F, Stafford, Texas |
| Authorized Official Name and Position | Gloria Moran (OWNER) |
| Authorized Official Contact | 7133731609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Universo Latino #2 112 Avenue F B Stafford TX 77477-5502 Ph: (713) 373-1609 | Clinica Universo Latino #2 112 Avenue F B Stafford TX 77477-5502 Ph: (713) 373-1609 |
| NPI Number | 1003283235 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 08/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003283235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
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