Clinica de Su Comunidad LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLINICA DE SU COMUNIDAD LLC

Practice address

15334 Misty Dawn TRL
Cypress, TX 77433-5893

Phone

(508) 667-8601

NPI assigned

Oct 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olugbenga Coker

Title

Owner

Phone

(508) 667-8601

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1194152025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15334 MISTY DAWN TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335893",
            "telephone_number": "508-667-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15334 MISTY DAWN TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335893",
            "telephone_number": "508-667-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SU COMUNIDAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-667-8601"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Clary
• Hunter Clayburn
• Patricia Ann Cleeland, L.M.T.
• Caitlin Clemente, MS, CCC-SLP
• Conrado Galang Clemente Jr., PT
• Clinica Medica Santa Teresa, LLC
• Kevin Closner
• Mackenzie Clotworthy, NP
• Reagan Katherine Clough
• CM Covenant Dental PLLC

• Clinic/Center in Cypress, TX
• Providers in Cypress, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.