| NPI | 1306396031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN G MELENDEZ Owner 956-212-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H5188) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX H5188) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2018-05-17 |