| 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 |