| Santa Clara Family Clinic Pllc | |
|
3420 Woodridge Dr Houston TX 77087-3735 | |
| (713) 923-2273 | |
| (713) 923-2276 |
| Full Name | Santa Clara Family Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3420 Woodridge Dr, Houston, Texas |
| Authorized Official Name and Position | Yuliet Mora Amador (CEO) |
| Authorized Official Contact | 7139232273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Clara Family Clinic Pllc 3420 Woodridge Dr Houston TX 77087-3735 Ph: (713) 923-2273 | Santa Clara Family Clinic Pllc 3420 Woodridge Dr Houston TX 77087-3735 Ph: (713) 923-2273 |
| NPI Number | 1255761326 |
|---|---|
| Provider Enumeration Date | 11/26/2013 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 6608151329 |
|---|---|
| Medicare Enrollment ID | O20170321000908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255761326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P3934 (Texas) | Primary |
| 208000000X | Pediatrics | N6789 (Texas) | Secondary |
| Provider Name | Yuliet Mora Amador |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285981290 PECOS PAC ID: 0648405720 Enrollment ID: I20131025000605 |
| Provider Name | Esmeralda Barragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417426842 PECOS PAC ID: 1456685379 Enrollment ID: I20190627000196 |
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