| NPI | 1588972657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MORAN Company Administrator 956-568-5013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TX 630856) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2011-03-24 |