Provider Demographics
NPI:1902311251
Name:ETHICS FAMILY CLINIC
Entity Type:Organization
Organization Name:ETHICS FAMILY CLINIC
Other - Org Name:ETHICS FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BIBI
Authorized Official - Middle Name:D
Authorized Official - Last Name:DANIA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:281-889-0362
Mailing Address - Street 1:6405 ANTOINE DR STE 7
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-1233
Mailing Address - Country:US
Mailing Address - Phone:713-497-5988
Mailing Address - Fax:713-497-5987
Practice Address - Street 1:6405 ANTOINE DR STE 7
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-1233
Practice Address - Country:US
Practice Address - Phone:713-479-5988
Practice Address - Fax:713-479-5987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care