Organization Active NPI

Clinica Latino Americana Inc.

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1568835429
Registry record updated Nov 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126171 Issued in TX
Legal business name
CLINICA LATINO AMERICANA INC.
Practice address
2594 FM 1960 Rd
Houston, TX 77073-2506
Phone
(832) 957-3908
NPI assigned
Nov 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2015

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

Authorized official

Name
Wesam Adawin
Title
Director
Phone
(832) 957-3908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP126171 TX Primary

Addresses

Primary practice location

2594 FM 1960 Rd
Houston, TX 77073-2506

Mailing address

2594 FM 1960 Rd
Houston, TX 77073-2506

National Provider Directory

National Provider Directory

Locations

2594 FM 1960 Rd
Houston, TX 77073
Phone (281) 443-0804

NPI Registry JSON

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446336000000",
    "number": "1568835429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 FM 1960 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770732506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 FM 1960 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770732506",
            "telephone_number": "832-957-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LATINO AMERICANA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A",
        "authorized_official_last_name": "ADAWIN",
        "authorized_official_first_name": "WESAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-957-3908"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126171",
            "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 Nov 1, 2015; 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.