| NPI | 1275142622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA L COB Administrator 956-495-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2024-02-08 |