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 |