| NPI | 1497281638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA REYES Billing Manager 956-584-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128526) |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2017-05-09 |