Organization Name: | CLINICA LAS AMERICAS |
NPI Number: | 1407940505 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RENE I LOPEZ (MEDICAL DIRECTOR) |
Mailing Address: | 8800 Long Point Rd Suite B Houston |
State: | TX US |
Postal Code: | 77055 |
Phone Number: | 7139738292 |
Fax Number: | 7139730841 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | E7171 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |