| NPI | 1063601854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE M POPEK Owner 956-686-3752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX D9041) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2010-07-25 |