| NPI | 1679788186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA RODRIGUEZ Office Manager 830-774-4094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 528237) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-01-18 |