| 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 |