| NPI | 1316470131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C RODRIGUEZ CEO 210-980-0796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX AP130890) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2024-04-04 |