| NPI | 1881614709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN J VAZQUEZ-BAUZA President 402-393-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 19950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 19943) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 20956) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 110706) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 110198) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2014-06-11 |