| NPI | 1568072544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE MARTINEZ Office Administrator 956-904-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2023-10-13 |