| NPI | 1326650128 |
|---|---|
| Doing Business As | B O G ADVANCED FAMILY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | BARBARA YADIRA ORTIZ-GONZALEZ President 832-812-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |