Clinica Familiar La Luz LLC

NPI #1871290825 in Katy, Texas

Provider Information

NPI Number
1871290825
Entity Type
Organization
Organization Name
Clinica Familiar La Luz LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Feb 9, 2023
Last Updated
Nov 12, 2024

Practice Location

Address
29310 PRAIRIE ROSE CT
City
Katy
State
Texas
ZIP Code
77494-7384
Phone
(832) 937-5596

Authorized Official

Name
DR. NORBE LUIS BASULTO BASULTO, NP
Title
DIRECTOR
Phone
(713) 660-1603

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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