| NPI | 1326447442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN SANCHEZ CEO 956-331-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX H3497) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |