NPI | 1083749824 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYNIE CHAPA Administrator 956-583-0141 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 006524) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2011-06-07 |