Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Wound Care |
163WW0000X |
| NPI # | 1790672491 |
| LBN Legal business name | MERCY MEDICAL AND BEHAVIORAL INC |
| Authorized official | CECILIO GONZALES - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/23/2025 |
| Last updated | 05/25/2026 - About 2 weeks ago |
| Identifiers | n/a |
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