| NPI | 1124240437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO C NOVOA President 915-351-0907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 697757) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA04255) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-05-16 |