| NPI | 1114327384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO VASQUEZ AGUILAR Member 956-682-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX N7368) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |