| NPI | 1063230126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MCLEAN Manager 956-246-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |