| 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 |