| NPI | 1154058337 |
|---|---|
| Doing Business As | CLINICA VITAL CARE LLC |
| Entity Type | Organization |
| Authorized Contact | MAYLIN DIAZ LOPEZ Medical Provider 832-705-8586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-08-06 |
| Last Update Date | 2024-03-27 |