| NPI | 1164305405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA X GONZALEZ Authorized Official 956-362-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |