| NPI | 1205636073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMARI BARRERA FONSECA Manager 281-400-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-04-10 |