| NPI | 1023606779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAIMARA GONZALEZ PANTOJA Owner 832-638-5975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2023-03-27 |