| NPI | 1225263650 |
|---|---|
| Doing Business As | ROCKPORT REJUVENATIVE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARGARET VONHEUVEL Owner 361-790-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2012-03-05 |