| NPI | 1265191613 |
|---|---|
| Doing Business As | MARCIA GONZALEZ |
| Entity Type | Organization |
| Authorized Contact | MARCIA LYNN GONZALEZ Administrator 956-454-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2023-12-13 |