| NPI | 1255803417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA SOSA Owner 956-367-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |