NPI | 1194210658 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA V GOMEZ Owner 210-708-9329 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363LA2100X Nurse Practitioner, Acute Care | |
363LF0000X Nurse Practitioner, Family | |
363LW0102X Nurse Practitioner, Women's Health | |
207R00000X Internal Medicine | |
208D00000X General Practice | |
Enumeration Date | 2018-06-27 |
Last Update Date | 2020-04-27 |