| NPI | 1063644227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY J. PATTILLO Owner 361-548-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 571896) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 571896) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2013-07-09 |