| NPI | 1588964811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA ORTEGA Fnp/Owner 731-215-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 10533) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: TN 10533) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |