| NPI | 1144251547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE FERNANDO PENA Medical Director 956-464-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-09-04 |