| NPI | 1821804667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELE NICOLAS-WEDIGE Family Nurse Practitioner 210-355-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |