| NPI | 1871873380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MORAN V.P. 956-791-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 630856) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |