| NPI | 1295596096 |
|---|---|
| Doing Business As | LEGACY DEVELOPMENTAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | PATRICIA PEREZ Nurse Practitioner 806-300-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |