| NPI | 1033444773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIRO A PUENTES Medical Director CEO 361-852-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX E2071) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |