| NPI | 1366832537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI DUNCAN Insurance Coordinator 361-906-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |