NPI | 1013553874 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE BURGOS Owner 915-307-4669 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2019-11-26 |
Last Update Date | 2024-09-15 |