| NPI | 1972335347 |
|---|---|
| Former Legal Business Name | NUEVO LEON FAMILY CLINIC PLLC |
| Entity Type | Organization |
| Authorized Contact | BRENDA MEDINA CEO 469-518-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |