| NPI | 1023865730 |
|---|---|
| Former Legal Business Name | PROMEDEUS, LLC |
| Entity Type | Organization |
| Authorized Contact | JESUS TOVAR Member 956-497-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |