| NPI | 1841066206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE GARCIA Credentialing Contact 210-316-4256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |