| NPI | 1245347871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO IBARRA Owner 8915-532-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: TX H8147) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |