Provider Demographics
NPI:1245804293
Name:CLINICA HISPANA SALUD Y ESPERANZA LLC
Entity Type:Organization
Organization Name:CLINICA HISPANA SALUD Y ESPERANZA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELIA LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-570-2594
Mailing Address - Street 1:2319 BLUE REEF DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4798
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8200 WILCREST DR STE 20
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-4338
Practice Address - Country:US
Practice Address - Phone:346-570-2594
Practice Address - Fax:346-246-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty