| NPI | 1083961403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MORON Clinical Director 956-364-8375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX DT82349) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |