CH Stafford LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CH STAFFORD LLC

Doing business as

Clinica Universo Latino

Practice address

112 Avenue F Ste B
Stafford, TX 77477-5502

Phone

(281) 499-1121

Fax

(281) 499-1171

NPI assigned

Jul 28, 2025

Last updated

Jul 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reynol Ramon Polanco SorianoNPI 1508572983

Title

FNP

Phone

(832) 875-7716

Specialties & licenses 1

Addresses

Other names 1

• Clinica Universo Latino Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reynol Ramon Polanco Soriano, APRN-CNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1508572983
  Medicare reassignment NPD Authorized official
• Hortensia Rosales Martinez, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1790348282
  Medicare reassignment NPD

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1467335463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 AVENUE F STE B",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775502",
            "telephone_number": "281-499-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 AVENUE F STE B",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775502",
            "telephone_number": "281-499-1121",
            "fax_number": "281-499-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH STAFFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "POLANCO SORIANO",
        "authorized_official_first_name": "REYNOL",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "832-875-7716"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Universo Latino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Centers for Mobility Rosenberg LP
• Jacob Pulprayil Chacko
• Rhonney E Chacko, OPTICIAN
• Christina L Chambers
• Crystal Latrice Champion-Kendricks, PHARM D
• Yu-Chen Chang

• Family Nurse Practitioner in Stafford, TX
• Providers in Stafford, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.