| NPI | 1043344302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GONZALEZ 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 | 2020-08-22 |