| NPI | 1871817486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISE BLUDAU-BRANCH Sole Mbr 361-920-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 572524) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2011-12-19 |