| NPI | 1942803341 |
|---|---|
| Doing Business As | CLINICA FAMILIAR NACOGDOCHES |
| Entity Type | Organization |
| Authorized Contact | YORDANIS RAFAEL FONSECA VEGA Owner 512-909-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |