| NPI | 1821351958 |
|---|---|
| Doing Business As | SANTA MARIA DE GUADALUPE CLINIC |
| Entity Type | Organization |
| Authorized Contact | OLIVA G PACANA President/Owner 214-679-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2013-09-22 |