| NPI | 1760596969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA A BERNAL Office Manager 432-522-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX F1867) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX G5429) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 630161) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2012-02-24 |