| NPI | 1164632659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL TREVINO CEO 956-523-3646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-02-11 |