| NPI | 1255623906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR GONZALEZ Medical Director 915-222-8275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K4440) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |