| NPI | 1114173416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLIE VILLANUEVA Officemanager 830-278-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: TX G8473) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2022-02-01 |