| NPI | 1134599707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MUNOZ Receptionist 956-630-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX n9878) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |