| NPI | 1124197165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR H GONZALEZ Medical Director 956-631-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007782) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2022-07-12 |