| NPI | 1255946059 |
|---|---|
| Doing Business As | CLINICA MAGNOLIA |
| Entity Type | Organization |
| Authorized Contact | MARK CRAWFORD Managing Member 713-960-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2021-03-01 |