Organization Active NPI

Clinica Medica Bravo LLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1497522775
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CLINICA MEDICA BRAVO LLC
Practice address
8795 Antoine Dr. Suite 115
Houston, TX 77088
Phone
(346) 342-1652
Fax
(832) 664-8574
NPI assigned
Dec 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Mrs. Marilyn Del Toro Bravo
Title
Manager/Owner
Phone
(737) 333-1263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8795 Antoine Dr. Suite 115
Houston, TX 77088

Mailing address

4534 Highway 6 N.
Houston, TX 77084
Phone (346) 342-1652

National Provider Directory

National Provider Directory

Locations

8795 Antoine Dr
Ste 115
Houston, TX 77088
Phone (346) 342-1652

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1497522775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 HIGHWAY 6 N.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77084",
            "telephone_number": "346-342-1652",
            "fax_number": "832-664-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8795 ANTOINE DR. SUITE 115",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77088",
            "telephone_number": "346-342-1652",
            "fax_number": "832-664-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA BRAVO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "DEL TORO BRAVO",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "737-333-1263",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.