Provider Demographics
NPI:1891671012
Name:CLINICA SALUD Y VIDA INC
Entity type:Organization
Organization Name:CLINICA SALUD Y VIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:713-517-5225
Mailing Address - Street 1:16103 W LITTLE YORK RD STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6867
Mailing Address - Country:US
Mailing Address - Phone:281-500-9910
Mailing Address - Fax:832-900-9930
Practice Address - Street 1:16103 W LITTLE YORK RD STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6867
Practice Address - Country:US
Practice Address - Phone:281-500-9910
Practice Address - Fax:832-900-0979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty