| NPI | 1902345739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EMMANUEL MENCHACA Owner 956-975-5295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX ap130251) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |