| NPI | 1245428259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS J MEDRANO President 956-380-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX K8662) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care (Licence: TX K8662) |
| 207Q00000X Family Medicine (Licence: TX K8662) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |