| NPI | 1902661887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS DE LA FUENTE Family Nurse Practitioner Owner 210-264-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |