| NPI | 1922330778 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATRICIA GARZA Credentialist 956-630-2220  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care | 
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 10209)  | 
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2010-02-04 | 
| Last Update Date | 2025-04-29 |