| NPI | 1134713985 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TATIANA MIRELES Executive Administrator 956-627-3660  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Enumeration Date | 2021-02-23 | 
| Last Update Date | 2021-02-23 |