| NPI | 1154746105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO E ESTRADA Doctor 469-951-0287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L4927) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX H0131) |
| 363L00000X Nurse Practitioner (Licence: TX 457401) | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |