| NPI | 1063089571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGO LOPEZ Managing Member 361-774-3753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2025-06-03 |