| NPI | 1265889703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE FAYE MENAGER Sole Mbr 361-542-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX AP114056) |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2016-09-02 |