| NPI | 1053747402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAINE HENDRICK Owner/Family Nurse Practitioner 956-630-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 796415) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2014-01-22 |