| 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 | 2024-12-17 |