NPI | 1134250970 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD LEE BORCHARD President 361-991-1885 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX K5826) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 605088) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 533345) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2012-09-20 |