| NPI | 1134739220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN O EDIONWE President 956-655-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |