NPI | 1902569593 |
---|---|
Entity Type | Organization |
Authorized Contact | JON PAUL PATTERSON Owner/ President 956-383-0191 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-10-20 |
Last Update Date | 2021-12-06 |