| Consultorio Medico Hispano | |
|
6692 Southwest Fwy Suite B Houston TX 77074-2210 | |
| (713) 714-8604 | |
| Not Available |
| Full Name | Consultorio Medico Hispano |
|---|---|
| Speciality | Family Medicine |
| Location | 6692 Southwest Fwy, Houston, Texas |
| Authorized Official Name and Position | Stanton Packard (PHYSICIAN) |
| Authorized Official Contact | 7137148604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consultorio Medico Hispano 6692 Southwest Fwy Suite B Houston TX 77074-2210 Ph: () - | Consultorio Medico Hispano 6692 Southwest Fwy Suite B Houston TX 77074-2210 Ph: (713) 714-8604 |
| NPI Number | 1851729313 |
|---|---|
| Provider Enumeration Date | 10/21/2013 |
| Last Update Date | 10/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851729313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J6641 (Texas) | Primary |
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