| NPI | 1003821687 |
|---|---|
| Former Legal Business Name | CLINICA HISPANA II |
| Entity Type | Organization |
| Authorized Contact | OSCAR L DE VALLE Physician 281-897-8142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-08-31 |