| NPI | 1093105934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FADER M.D. 361-994-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX F0613622) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |