Provider Demographics
NPI:1992444889
Name:CLINICA LATINA FAMILIAR 3 LLC
Entity type:Organization
Organization Name:CLINICA LATINA FAMILIAR 3 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YAIKER
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ DOPICO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-390-0955
Mailing Address - Street 1:15840 FM 529 RD STE 102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5285
Mailing Address - Country:US
Mailing Address - Phone:832-390-0955
Mailing Address - Fax:832-390-0956
Practice Address - Street 1:15840 FM 529 RD STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5285
Practice Address - Country:US
Practice Address - Phone:832-390-0955
Practice Address - Fax:832-390-0956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty