| NPI | 1306347216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALAN MAUGER Owner 361-993-3917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP131375) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX TX3033) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-04-05 |