| NPI | 1194061655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RUIZ Administrator 409-813-1677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 208D00000X General Practice | |
| 208M00000X Hospitalist | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2024-08-29 |