Provider Demographics
NPI:1568974442
Name:CLINICA ARAJA, LLC
Entity Type:Organization
Organization Name:CLINICA ARAJA, LLC
Other - Org Name:CLINICA ARAJA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LARACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-588-3333
Mailing Address - Street 1:5201 HARRISBURG BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-4229
Mailing Address - Country:US
Mailing Address - Phone:713-588-3333
Mailing Address - Fax:832-834-6075
Practice Address - Street 1:5201 HARRISBURG BLVD STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-4229
Practice Address - Country:US
Practice Address - Phone:713-588-3333
Practice Address - Fax:832-834-6075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty