| NPI | 1699519777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY ALCALA DANO Advanced Practice Provider 956-789-6276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |