| NPI | 1720570047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ARTURO MEDINA President 915-373-4056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP132755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2021-07-16 |