| NPI | 1366982472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO CALDERON Owner 361-774-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP132438) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |