| NPI | 1831910223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS ISMAEL IRSULA PACHECO Family Nurse Practicioner 346-971-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |