| NPI | 1164269288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL TAMAYO Physician 956-800-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-11-14 |