NPI | 1508813494 |
---|---|
Entity Type | Organization |
Authorized Contact | EVA L HERNANDEZ Practice Authorized Official 210-231-2540 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363LF0000X Nurse Practitioner, Family | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2006-05-27 |
Last Update Date | 2024-02-08 |