| NPI | 1063777019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL JOEL GARCIA Owner/Director 915-449-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX N9857) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-09-17 |