| NPI | 1124084058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESMERALDA GARCIA Supervisor 956-425-8761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-05-29 |