| NPI | 1073882023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY ANTONY GUERRERO Md/Owner 830-278-1692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2024-12-16 |