| NPI | 1548795008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA EDNA DIAZ Owner/ Physician 915-351-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2022-06-07 |