| NPI | 1174604763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L KUTUGATA Business Manager 956-969-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX TA03917) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-07-17 |