| NPI | 1265068902 |
|---|---|
| Former Name | JACOB PAREDEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145147) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP145147) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP145147) | |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |