| NPI | 1154590610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL TREVINO CEO 956-523-3642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2009-10-21 |