| NPI | 1477394039 |
|---|---|
| Former Legal Business Name | MEDERNA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ERNAI HERNADEZ HERNANDEZ Md 832-524-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |