MYLEX NOVO

ALAMO, TX
NPI1790132462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  130986)
Enumeration Date2016-05-23
Last Update Date2016-05-23
Business Address
-- MYLEX NOVO
427 E DURANTA AVE
ALAMO, TX 78516-3407
Phone number: 956-702-2444
Mailing Address
-- MYLEX NOVO
427 E DURANTA AVE
ALAMO, TX 78516-3407
Phone number: 956-702-2444