| NPI | 1922304336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGNACIO VILLARREAL Owner 956-583-6737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 684975) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-06-07 |