| NPI | 1265016109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINA HERNANDEZ President 915-503-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2022-04-08 |