| NPI | 1225283807 |
|---|---|
| Doing Business As | SOUTH PADRE ISLAND PEDIATRIC CNTR-ARANSAS PASS |
| Entity Type | Organization |
| Authorized Contact | SANDY GONZALEZ Office Manager 361-854-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: TX E4618) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: TX G6791) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |