| NPI | 1225366370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND B ACEBO Medical Doctor 361-653-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H9742) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |