LATIN CLINIC NPI 1063879955

NPI Information

NPI: 1063879955
Provider Name: LATIN CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2113270

Address:
3961 S GESSNER RD
HOUSTON, TX
ZIP 77063
Phone: (832) 986-5007
Get Directions

LATIN CLINIC is a primary care clinic center in Houston, TX. LATIN CLINIC NPI is 1063879955. The provider is registered as an organization entity type.

The provider's business location address is:

3961 S GESSNER RD
HOUSTON, TX
ZIP 77063-135
Phone: (832) 986-5007
Fax: (832) 986-5097

The provider's authorized official is Janet Victortes .
The authorized official title is Owner and has the following contact phone number (786) 247-1994.

The CLIA number assigned to this NPI record is 45D2113270 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2016 and was last updated on 1/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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