| NPI | 1457770687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA X GONZALEZ Administrator 956-362-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 781566) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |