NPI | 1144391426 |
---|---|
Entity Type | Organization |
Authorized Contact | RICARDO GARCIA Owner 956-631-2881 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 13873) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2013-03-06 |