NPI | 1275307100 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE ALISA ZAMORA Clinician, Owner 979-297-3387 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-11-10 |
Last Update Date | 2023-11-10 |