Provider Demographics
NPI:1326773763
Name:JURADO FAMILY CLINIC, LLC
Entity type:Organization
Organization Name:JURADO FAMILY CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:MAYLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JURADO CARBALLO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:786-230-7510
Mailing Address - Street 1:11422 SOUTHWEST FWY STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-3623
Mailing Address - Country:US
Mailing Address - Phone:281-835-4048
Mailing Address - Fax:281-407-9228
Practice Address - Street 1:11422 SOUTHWEST FWY STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-3623
Practice Address - Country:US
Practice Address - Phone:281-835-4048
Practice Address - Fax:281-407-9228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty