| NPI | 1528642402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO BRIZUELA Provider 214-497-7346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2023-05-09 |