| NPI | 1174931521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC CHITRIT Owner 361-658-1528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX J6906) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |