| NPI | 1972227296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA IRIS CARRILLO AGUILAR Managing Member/Owner 361-562-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2023-10-20 |