| NPI | 1285643304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM SALDIVAR CFO 956-365-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 4547482) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2013-02-27 |