| NPI | 1992444889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAIKER PEREZ DOPICO Manager 832-390-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-07-01 |