| NPI | 1053670257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE BRAXTON President 956-650-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2020-06-16 |