| NPI | 1023822897 |
|---|---|
| Former Legal Business Name | CLINICA VIDA SANA |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A MONTES Medical Director 832-530-4188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |