| NPI | 1508154998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE BRAXTON Fnp Bc 956-650-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 677692) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |