| NPI | 1245457522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID HINOJOSA Owner 817-908-1218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 589114) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-09-11 |