| NPI | 1164713848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES NISIMBLAT President 361-225-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2023-09-28 |