| NPI | 1134448400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J MCCOY Administrator 956-393-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX J6969) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |