NPI | 1619367497 |
---|---|
Professional Name | AGUSTIN OBANDO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP127346) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127346) |
Enumeration Date | 2015-01-30 |
Last Update Date | 2021-07-22 |