NPI | 1366697864 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD CASTRO BACANI Fnp/Primary Care Provider 432-332-0728 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 639134) |
Enumeration Date | 2008-11-25 |
Last Update Date | 2009-04-09 |