| NPI | 1326070988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL TREVINO CEO 956-523-3646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2010-09-07 |