| NPI | 1801936935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY S. PETTY Practitioner 361-857-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 577955tx) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-09-14 |