| NPI | 1164172300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO VASQUEZ Physician Assistant/ Co Owner 956-205-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-12-09 |