| NPI | 1275711962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY J POLLET President 915-533-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX E1712) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |