| NPI | 1205594447 | 
|---|---|
| Other Name | MOBILE UNIT | 
| Entity Type | Organization | 
| Authorized Contact | ELMO LOPEZ AO 956-523-3645  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | 
| Enumeration Date | 2021-12-06 | 
| Last Update Date | 2021-12-06 |