| NPI | 1073791026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GONGORA Office Manager 956-682-4187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 0548) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |