| Clinica Latina Internacional | |
|
8950 Will Clayton Pkwy Ste I Humble TX 77338-5856 | |
| (832) 644-8230 | |
| (832) 644-8429 |
| Full Name | Clinica Latina Internacional |
|---|---|
| Speciality | Family Medicine |
| Location | 8950 Will Clayton Pkwy Ste I, Humble, Texas |
| Authorized Official Name and Position | Hermes D Hernandez Alfonso (OWNER) |
| Authorized Official Contact | 7725845543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Latina Internacional 8950 Will Clayton Pkwy Ste I Humble TX 77338-5856 Ph: (832) 644-8230 | Clinica Latina Internacional 8950 Will Clayton Pkwy Ste I Humble TX 77338-5856 Ph: (832) 644-8230 |
| NPI Number | 1467219311 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 7719325349 |
|---|---|
| Medicare Enrollment ID | O20240402002542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467219311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Hermes Daniel Hernandez Alfonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528457827 PECOS PAC ID: 9436516291 Enrollment ID: I20230609002175 |
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