| NPI | 1609165067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ADELINA FRISBIE-VEAL Owner 915-920-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 658423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01432) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2014-03-19 |