| NPI | 1518778562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA GALLARDO Family Nurse Practitioner 915-504-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-07-22 |