| 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 |