| NPI | 1700530482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEE ESCOBEDO CEO, Owner, Nurse Practitioner 737-262-3374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |