NPI | 1912400631 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELICA MARTINEZ Owner 830-968-7894 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136935) |
Enumeration Date | 2018-03-09 |
Last Update Date | 2021-05-10 |