| NPI | 1063034221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA MENDOZA-MARCIAL Owner/Np 915-592-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2021-04-08 |