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