Clinica Alta Vista LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLINICA ALTA VISTA LLC

Practice address

6420 Hillcroft St
303
Houston, TX 77081-3190

Phone

(713) 789-9617

Fax

(713) 789-9619

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Veronica Ebie

Title

Owner

Phone

(713) 789-9617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1639596356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 HILLCROFT ST",
            "address_2": "303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813190",
            "telephone_number": "713-789-9617",
            "fax_number": "713-789-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 HILLCROFT ST",
            "address_2": "303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813190",
            "telephone_number": "713-789-9617",
            "fax_number": "713-789-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA ALTA VISTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "EBIE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-789-9617"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.