| NPI | 1225643406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYDRE PALLARES Office Manager 432-307-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2022-08-26 |