| NPI | 1649042086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES YSAGUIRRE Authorized Offical , Member 956-680-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-11-17 |