| NPI | 1114130218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL RESENDEZ Executive Director 956-213-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2021-06-17 |