NPI | 1588929764 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA I ACEVEDO-GRACIA Owner 361-992-9383 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX L9052) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology |
363LF0000X Nurse Practitioner, Family | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2012-07-12 |
Last Update Date | 2024-05-03 |