NPI | 1407145055 |
---|---|
Entity Type | Organization |
Authorized Contact | ROLANDO CAZARES Clinic Director 956-727-4629 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 665900) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19107) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2015-02-02 |