| NPI | 1154757334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLY I. GARCIA Owner 361-793-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX N8653) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2022-08-17 |