| NPI | 1972505717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN GONZALEZ President 915-594-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 231H00000X Audiologist |
| 261QP2300X Clinic/Center, Primary Care | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2021-07-28 |