| NPI | 1124385950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESELLE MATHEWS Manager 956-583-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2013-03-04 |