| NPI | 1801583323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERLYS SUAREZ LOPEZ Fnp 832-996-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-25 |