| NPI | 1821865031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO ARIZA Owner 336-416-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |