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 |