| NPI | 1376212092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK O ERONINI Provider / Owner 956-309-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2022-05-05 |