| NPI | 1184630402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN OKPAKO IDJAGBORO Managing Director 956-536-1403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |