Provider Demographics
NPI:1487829214
Name:CLINICA LA SALUD
Entity Type:Organization
Organization Name:CLINICA LA SALUD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:ELISA
Authorized Official - Last Name:LOMBANA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:713-305-7123
Mailing Address - Street 1:2323 WIRT RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-1219
Mailing Address - Country:US
Mailing Address - Phone:713-467-4900
Mailing Address - Fax:713-467-6006
Practice Address - Street 1:2323 WIRT RD
Practice Address - Street 2:SUITE F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-1219
Practice Address - Country:US
Practice Address - Phone:713-467-4900
Practice Address - Fax:713-467-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty