| NPI | 1205594447 |
|---|---|
| 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 |