| NPI | 1871287094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELIO PEREZ GARCIA Authorize Official/Owner 214-647-1165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |