| 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 |