| NPI | 1194151910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL E LOPEZ Owner 956-212-9163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 652362) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |