NPI | 1275300741 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGELIO SOLIS JR Owner 956-395-2743 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2023-12-05 |
Last Update Date | 2024-05-12 |