| NPI | 1780969709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONORILDA HINES Fnp 956-399-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 641882) |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health (Licence: TX 641882) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-12-16 |