| NPI | 1962063917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA A RENDON Nurse Practitioner/Administrator 956-635-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-08-21 |