Provider Demographics
NPI:1912617689
Name:CLINICA HF IRVING LLC
Entity Type:Organization
Organization Name:CLINICA HF IRVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSEF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-600-8312
Mailing Address - Street 1:204 S NURSERY RD STE 166
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-3103
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:204 S NURSERY RD STE 166
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-3103
Practice Address - Country:US
Practice Address - Phone:972-600-8312
Practice Address - Fax:972-600-8380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty