| NPI | 1225148778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS J PALACIOS Owner 832-247-8509 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-12-06 |