| NPI | 1710692298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO SAAVEDRA Medical Director 361-756-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-18 |