| NPI | 1649059700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE BURGOS Owner 915-307-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-03-25 |