| NPI | 1124983747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA ANGELICA LOZANO MERCADO Provider/Manager 210-416-2075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |