| NPI | 1669218244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT REBUGIO Manager/Nurse Practitioner 210-605-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |