| NPI | 1043601487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO PANGANIBAN SERRANO President 817-303-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX F1988) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |