| NPI | 1093998379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE K HERNANDEZ President 915-595-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G6841) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2009-06-25 |