NPI | 1033509732 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIO PEREZ Owner 361-790-5155 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TX J1539) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K4526) |
Enumeration Date | 2015-02-02 |
Last Update Date | 2015-04-24 |