| NPI | 1629462601 |
|---|---|
| Former Legal Business Name | CLOVE CLUB LLC |
| Entity Type | Organization |
| Authorized Contact | PING CHEN Founder Member 713-834-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX MT121111) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX MT121111) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |