| NPI | 1285456897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEDLISBETT CEBALLOS GARRETT Owner 956-827-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2025-08-21 |