| NPI | 1487035093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L PENA Partner 956-789-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP126924) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP126924) |
| 363LC1500X Nurse Practitioner Community Health (Licence: TX AP126924) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP126924) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |