CLINICA FAMILIAR LA BUENA FE LLC NPI 1578206496

NPI Information

CLINICA FAMILIAR LA BUENA FE LLC is a family nurse practitioner in Irving, TX. CLINICA FAMILIAR LA BUENA FE LLC NPI is 1578206496. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2000 ESTERS RD STE 120
IRVING, TX
ZIP 75061-020
Phone: (469) 586-4574
Fax: (469) 524-3248

The provider's authorized official is Madelin Perez Antela .
The authorized official title is Fnp and has the following contact phone number (469) 586-4574.

The CLIA number assigned to this NPI record is 45D2266287 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2022 and was last updated on 4/18/2022.

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:

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