Athena Medical Clinic LLC
NPI #1760102644 in Brookshire, Texas
Provider Information
- NPI Number
- 1760102644
- Entity Type
- Organization
- Organization Name
- Athena Medical Clinic LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 31, 2022
- Last Updated
- Jun 23, 2023
Practice Location
- Address
- 30575 KINGSLAND BLVD # 150
- City
- Brookshire
- State
- Texas
- ZIP Code
- 77423-2844
- Phone
- (281) 717-4674
Authorized Official
- Name
- IOLANI MAE SY AVES, NP
- Title
- MANAGING MEMBER
- Phone
- (713) 584-9013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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