| NPI | 1134539810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVA NYDIA GONZALEZ Administrator 939-969-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 13605) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |