NPI | 1417618281 |
---|---|
Doing Business As | VIVA HEALTH CLINIC, LLC |
Entity Type | Organization |
Authorized Contact | ERNESTO MARRERO Owner 512-243-5872 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-01-04 |
Last Update Date | 2023-09-20 |