| NPI | 1225359219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE PORRAS Owner 915-598-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J8346) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX J8346) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |