| NPI | 1851738264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA G HERNANDEZ President/Nurse Practitioner 210-392-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 625986) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |