| NPI | 1285955872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M DEMING Owner 361-553-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 587712) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |