| NPI | 1104957877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA YVONNE JIMENEZ Insurance Manager 915-591-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L9735) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |