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1003660895
CLINICA DE LA FAMILIA HISPANA EBENEZER LLC
BEDFORD, TX
NPI
1003660895
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Entity Type
Organization
Authorized Contact
ADDEL CASTELLANOS MATOS
Owner
682-738-3358
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-04-16
Last Update Date
2024-09-16
Business Address
CLINICA DE LA FAMILIA HISPANA EBENEZER LLC
522 BEDFORD RD
BEDFORD, TX 76022-6505
Phone number: 682-738-3358
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Mailing Address
CLINICA DE LA FAMILIA HISPANA EBENEZER LLC
522 BEDFORD RD
BEDFORD, TX 76022-6505
Phone number: 682-738-3358
Copy
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