Provider Demographics
NPI:1306528120
Name:A & J FAMILY CLINIC CORP.
Entity type:Organization
Organization Name:A & J FAMILY CLINIC CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PODIO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:832-478-5753
Mailing Address - Street 1:7303 BREEN DR STE I
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77086-3610
Mailing Address - Country:US
Mailing Address - Phone:713-966-9579
Mailing Address - Fax:346-206-3991
Practice Address - Street 1:7303 BREEN DR STE I
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-3610
Practice Address - Country:US
Practice Address - Phone:832-478-5753
Practice Address - Fax:346-206-3991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care