| NPI | 1043299415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA RODRIGUEZ Office Manager 361-887-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K3846) |
| 174400000X Specialist (Licence: TX K1120) | |
| 174400000X Specialist (Licence: TX L5449) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2024-10-30 |