NPI | 1265210876 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER RENDON SKINNER Owner/Provider 210-461-1216 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LA2100X Nurse Practitioner, Acute Care | |
Enumeration Date | 2023-09-15 |
Last Update Date | 2025-07-01 |