| NPI | 1043344302 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LUCY RODARTE Chief Operations Officer 915-534-7979 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 193200000x) | 
| Enumeration Date | 2007-03-16 | 
| Last Update Date | 2025-08-18 |