1053326629 NPI number — CLINICA HISPANA, P.A.

Table of content: (NPI 1053326629)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053326629 NPI number — CLINICA HISPANA, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CLINICA HISPANA, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053326629
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2028 WIRT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77055-1602
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-682-7066
Provider Business Mailing Address Fax Number:
832-916-2813

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2028 WIRT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77055-1602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-682-7066
Provider Business Practice Location Address Fax Number:
832-916-2813
Provider Enumeration Date:
07/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DE VALLE
Authorized Official First Name:
OSCAR
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
713-682-7066

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 111512302 . This is a "EPSDT" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 111512301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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