| NPI | 1235494261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYCE YVONNE MARSTIN Owner 361-362-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 3466) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |