| NPI | 1083453708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO CALIXTO-MONTANEZ Sole Proprietor 214-709-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-11-14 |